Abstract:
:In economic evaluations of health technologies, health outcomes are commonly measured in terms of quality-adjusted life years (QALYs). QALYs are the product of time and health-related quality of life. Health-related quality of life, in turn, is determined by a social tariff, which is supposed to reflect the public's preference over health states. This study argues that, because of the tariff's role in the societal decision-making process, it should not be understood as merely an operational (statistical) definition of health, but as a major instrument of democratic participation. I outline what implications this might have for both the method used to aggregate individual preferences, and the set of individuals whose preferences should count. Alternative tariff specifications and decision rules are explored, and future research directions are proposed.
journal_name
Health Econjournal_title
Health economicsauthors
Schneider PPdoi
10.1002/hec.4179subject
Has Abstractpub_date
2021-01-01 00:00:00pages
104-112issue
1eissn
1057-9230issn
1099-1050journal_volume
30pub_type
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