The lack of theoretical support for using person trade-offs in QALY-type models

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  • Lars Peter Raahave Østerdal
Considerable support for the use of person trade-off methods to assess the quality-adjustment factor in quality-adjusted life years (QALY) models has been expressed in the literature. The WHO has occasionally used similar methods to assess the disability weights for calculation of disability-adjusted life years (DALYs). This paper discusses the theoretical support for the use of person trade-offs in QALY-type measurement of (changes in) population health. It argues that measures of this type based on such quality-adjustment factors almost always violate the Pareto principle, and so lack normative justification.
Original languageEnglish
JournalEuropean Journal of Health Economics (Print Edition)
Issue number4
Pages (from-to)429-436
Number of pages8
Publication statusPublished - 2009

ID: 16129092