QUALITY-ADJUSTED LIFE YEARS AND THE ETHICAL VALUES OF HEALTH-CARE

被引:0
|
作者
DOUGHERTY, CJ
机构
关键词
QALYS; ETHICS; FAIRNESS; REHABILITATION;
D O I
暂无
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
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.
引用
收藏
页码:S29 / S33
页数:5
相关论文
共 50 条
  • [2] THE USE OF QUALITY-ADJUSTED LIFE YEARS (QALYS) IN THE ECONOMIC APPRAISAL OF HEALTH-CARE
    KAWACHI, I
    BETHWAITE, P
    BETHWAITE, J
    [J]. NEW ZEALAND MEDICAL JOURNAL, 1990, 103 (883) : 46 - 48
  • [3] QUALITY-ADJUSTED LIFE YEARS - ETHICAL IMPLICATIONS AND THE OREGON PLAN
    LAPUMA, J
    [J]. ISSUES IN LAW & MEDICINE, 1992, 7 (04) : 429 - 441
  • [4] Quality of Life, Utilities, Quality-Adjusted Life-years, and Health Care Decision Making
    Owens, Douglas K.
    Shekelle, Paul G.
    [J]. JAMA INTERNAL MEDICINE, 2013, 173 (12) : 1073 - 1074
  • [5] QUALITY-ADJUSTED LIFE-YEARS
    SMITH, A
    [J]. LANCET, 1987, 2 (8549): : 47 - 47
  • [6] QUALITY-ADJUSTED LIFE YEARS - REPLY
    RICHARDSON, J
    SCHWARTZ, S
    [J]. AUSTRALIAN JOURNAL OF PUBLIC HEALTH, 1994, 18 (02): : 227 - 228
  • [7] The Value of the Quality-Adjusted Life Years
    Willke, Richard J.
    Pizzi, Laura T.
    Rand, Leah Z.
    Neumann, Peter
    [J]. VALUE IN HEALTH, 2024, 27 (06) : 702 - 705
  • [8] QUALITY-ADJUSTED LIFE-YEARS
    WILLIAMS, A
    [J]. LANCET, 1987, 1 (8546): : 1372 - 1372
  • [9] Putting the quality into quality-adjusted life years
    Oliver, A
    [J]. JOURNAL OF PUBLIC HEALTH MEDICINE, 2003, 25 (01): : 8 - 12
  • [10] DISTINGUISHING HEALTH EXPECTANCIES AND HEALTH-ADJUSTED LIFE EXPECTANCIES FROM QUALITY-ADJUSTED LIFE YEARS
    ROBINE, JM
    MATHERS, CD
    BUCQUET, D
    [J]. AMERICAN JOURNAL OF PUBLIC HEALTH, 1993, 83 (06) : 797 - 798