ALLOCATING RESOURCES TO HEALTH-CARE - IS THE QALY (QUALITY ADJUSTED LIFE YEAR) A TECHNICAL SOLUTION TO A POLITICAL PROBLEM

被引:36
作者
CARRHILL, RA
机构
来源
INTERNATIONAL JOURNAL OF HEALTH SERVICES | 1991年 / 21卷 / 02期
关键词
D O I
10.2190/HPLM-EGXV-BWKY-5XBN
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The allocation of health care resources has always been and will remain a contentious issue. Classically, the arguments have been posed in terms of the ''need'' for health care and/or the ''right'' to treatment. More recently, there have been attempts to shape the debate in consequentialist terms, by introducing a composite outcome measure. In the United Kingdom, the QALY (Quality Adjusted Life Year) has been promoted enthusiastically. But, like many other such proposals, it is a dodo, and one that is potentially politically dangerous.
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页码:351 / 363
页数:13
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