QALYs, DALYs, and HALYs: A unifying framework for the evaluation of population health

Juan D. Moreno-Ternero, Trine Tornøe Platz, Lars Peter Østerdal*

*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

14 Citationer (Scopus)
10 Downloads (Pure)

Abstract

We provide a unifying framework for the evaluation of population health. We formalize several axioms for social preferences over distributions of health. We show that a specific combination of those axioms characterizes a large class of population health evaluation functions combining concerns for quality of life, quantity of life and health shortfalls. We refer to the class as (unweighted) aggregations of health-adjusted life years (HALYs). Two focal (and somewhat polar) members of this family are the (unweighted) aggregations of quality-adjusted life years (QALYs), and of disability-adjusted life years (DALYs). We also provide new characterization results for these focal members that enable us to scrutinize their normative foundations and shed new light on their similarities and differences.

OriginalsprogEngelsk
Artikelnummer102714
TidsskriftJournal of Health Economics
Vol/bind87
ISSN0167-6296
DOI
StatusUdgivet - 2023

Bibliografisk note

Funding Information:
We thank Owen O’Donnell (editor of this journal) as well as two anonymous referees for very helpful comments and suggestions. We also thank Kristian Schultz Hansen, and conference and seminar participants at GEM6 (Odense), EuHEA (Oslo) and Copenhagen Business School. Financial support from the Independent Research Fund Denmark Social Sciences (Grant ID: DFF-6109-000132 ), the National Research Centre for the Working Environment (NFA), Copenhagen, Denmark , the Spanish Agencia Estatal de Investigación (AEI) through grant PID2020-115011GB-I00 , funded by MCIN/AEI/10.13039/501100011033, and Junta de Andalucía, Spain , through grants P18-FR-2933 and A-SEJ-14-547 UGR20 is gratefully acknowledged.

Funding Information:
We thank Owen O'Donnell (editor of this journal) as well as two anonymous referees for very helpful comments and suggestions. We also thank Kristian Schultz Hansen, and conference and seminar participants at GEM6 (Odense), EuHEA (Oslo) and Copenhagen Business School. Financial support from the Independent Research Fund Denmark ∣ Social Sciences (Grant ID: DFF-6109-000132), the National Research Centre for the Working Environment (NFA), Copenhagen, Denmark, the Spanish Agencia Estatal de Investigación (AEI) through grant PID2020-115011GB-I00, funded by MCIN/AEI/10.13039/501100011033, and Junta de Andalucía, Spain, through grants P18-FR-2933 and A-SEJ-14-547 UGR20 is gratefully acknowledged.

Publisher Copyright:
© 2022 The Author(s)

Citationsformater