Lifetime QALY prioritarianism in priority setting.

Abstract:

:Two principles form the basis for much priority setting in health. According to the greater benefit principle, resources should be directed toward the intervention with the greater health benefit. According to the worse off principle, resources should be directed toward the intervention benefiting those initially worse off. Jointly, these principles accord with so-called prioritarianism. Crucial for its operationalisation is the specification of the worse off. In this paper, we examine how the worse off can be defined as those with the fewer lifetime Quality-Adjusted Life Years (QALYs). We contrast this proposal with several alternative specifications.

journal_name

J Med Ethics

authors

Ottersen T

doi

10.1136/medethics-2012-100740

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

175-80

issue

3

eissn

0306-6800

issn

1473-4257

pii

medethics-2012-100740

journal_volume

39

pub_type

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