How many lives is equity worth? A proposal for equity adjusted years of life saved

被引:21
作者
Lindholm, L [1 ]
Rosen, M
Emmelin, M
机构
[1] Umea Univ, Dept Epidemiol & Publ Hlth, S-90185 Umea, Sweden
[2] Natl Board Hlth & Welf, Ctr Epidemiol, Stockholm, Sweden
关键词
D O I
10.1136/jech.52.12.808
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Study objective-To present a formula for equity adjusted years of life saved (EYLS). Design-A mailed questionnaire. The survey participants were given a scenario describing a trade off between a health maximisation programme and a programme that is less efficient, but eliminates social inequalities. Setting-Swedish politicians responsible for health care in the county councils. Participants-A sample of 449 Swedish politicians responsible for health care in the county councils. Main results-The principle of health maximisation was rejected. Under certain conditions, the Swedish politicians are prepared to sacrifice 15 of 100 preventable deaths to achieve equity. Based on the results a formula for EYLS is presented. Conclusions-An equity adjusted formula for years of life saved has been proposed, but must be developed and revised according to each country's specific conditions and value premises. In the future, such formulas could serve the purpose of incorporating explicit considerations of equity into cost effectiveness analyses.
引用
收藏
页码:808 / 811
页数:4
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