期刊
HEALTH ECONOMICS
卷 30, 期 1, 页码 70-85出版社
WILEY
DOI: 10.1002/hec.4177
关键词
cost effective; health; QALY; quality of life; wellbeing
资金
- National Institute for Health Research [SRF-2013-06-015]
- Wellcome Trust [205427/Z/16/Z]
- Wellcome Trust [205427/Z/16/Z] Funding Source: Wellcome Trust
This method calculates a measure of wellbeing by using health-related quality of life and consumption data, as well as normative assumptions about specific parameters that can be adjusted based on the decision-making context. In addition to providing a general indicator for cost-effectiveness analysis, it also facilitates distributional analysis of expected lifespan for different population subgroups under different policy scenarios.
We introduce a summary wellbeing measure for economic evaluation of cross-sectoral public policies with impacts on health and living standards. We show how to calculate period-specific and lifetime wellbeing using quality-adjusted life years based on widely available data on health-related quality of life and consumption and normative assumptions about three parameters-minimal consumption, standard consumption, and the elasticity of the marginal value of consumption. We also illustrate how these three parameters can be tailored to the decision-making context and varied in sensitivity analysis to provide information about the implications of alternative value judgments. As well as providing a general measure for cost-effectiveness analysis and cost-benefit analysis in terms of wellbeing, this approach also facilitates distributional analysis in terms of how many good years different population subgroups can expect to live under different policy scenarios.
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