Economics, health and health economics: HYEs (healthy-years equivalent) versus QALYs (quality-adjusted live-year)

Abstract:

:This paper responds to Culyer and Wagstaff's (CW) and Buckingham's (B) arguments. We refute their claim about the equivalence of HYEs and QALYs; they fail to distinguish between choice under uncertainty and under certainty. CW assume that all individuals have a specific form of utility function, which yields their conclusion of equivalence. B's arguments confuse the measurement technique and the utility theory from which it stems; his argument about the normative superiority of the QALY construct is inconsistent with economic thinking. The HYE, by being compatible with the principles of economics, is superior to the QALY for economic evaluations of health care interventions.

journal_name

J Health Econ

authors

Gafni A,Birch S,Mehrez A

doi

10.1016/0167-6296(93)90015-7

subject

Has Abstract

pub_date

1993-10-01 00:00:00

pages

325-39

issue

3

eissn

0167-6296

issn

1879-1646

pii

0167-6296(93)90015-7

journal_volume

12

pub_type

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