This paper defines the QALY, the quality-adjusted life year, and examines the ethical dimensions of its potential uses in health care, with special reference to rehabilitation. The implications of QALYs are analyzed with respect to three central ethical values in health care: freedom, happiness and fairness. QALYs may be useful in expanding patient freedom and in securing greater social happiness in the allocation of resources. However, QALYs raise important problems of fairness and have a bias toward curative interventions.
机构:
Stanford Univ, Ctr Primary Care & Outcomes Res, Stanford, CA 94305 USAStanford Univ, Ctr Primary Care & Outcomes Res, Stanford, CA 94305 USA
Owens, Douglas K.
Shekelle, Paul G.
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机构:
West Los Angeles VA Med Ctr, Los Angeles, CA USA
RAND Hlth, Santa Monica, CA 90407 USAStanford Univ, Ctr Primary Care & Outcomes Res, Stanford, CA 94305 USA
机构:
Univ London London Sch Econ & Polit Sci, LSE Hlth & Social Care, London WC2A 2AE, EnglandUniv London London Sch Econ & Polit Sci, LSE Hlth & Social Care, London WC2A 2AE, England
Oliver, A
[J].
JOURNAL OF PUBLIC HEALTH MEDICINE,
2003,
25
(01):
: 8
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12