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Qaly league tables

Qaly league tables QALY LEAGUE TABLES Dear Editor, I read with great interest the article by Karen Gerard and Gavin Mooney on the proper care to take when using QALY league tables (Health Economics 2 : 1, pp. 59-64). It nicely demonstrates several of the limitations of the use of QALYs. They argue inter alia that the only iegitimate use of QALY league tables is to address the question: ‘What additional QALYs can be bought by allocating additional resources to the listed existing programmes?’ I believe that the logic of their analysis can be taken one step further-a step which implies further restrictions on the use of QALYs. I refer to their discussion of costing issues. Let me assume with Gerard and Mooney that the opportunity cost of health care resources can be defined in terms of QALYs foregone. (This appears t o be a charitable view of the usefulness of QALYs.) This takes care of the costs of health care resources in the estimation of the cost per QALY tables. Next, Gerard and Mooney argue persuasively that the costs that fall on society generally when we implement health care interventions-patients’ time is a good example-need special consideration. These non-health service http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Health Economics Wiley

Qaly league tables

Lyttkens, Carl Hampus
Health Economics , Volume 3 (1) – Jan 1, 1994
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Publisher
Wiley
Copyright
Copyright © 1994 John Wiley & Sons, Ltd.
ISSN
1057-9230
eISSN
1099-1050
DOI
10.1002/hec.4730030108
Publisher site
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Abstract

QALY LEAGUE TABLES Dear Editor, I read with great interest the article by Karen Gerard and Gavin Mooney on the proper care to take when using QALY league tables (Health Economics 2 : 1, pp. 59-64). It nicely demonstrates several of the limitations of the use of QALYs. They argue inter alia that the only iegitimate use of QALY league tables is to address the question: ‘What additional QALYs can be bought by allocating additional resources to the listed existing programmes?’ I believe that the logic of their analysis can be taken one step further-a step which implies further restrictions on the use of QALYs. I refer to their discussion of costing issues. Let me assume with Gerard and Mooney that the opportunity cost of health care resources can be defined in terms of QALYs foregone. (This appears t o be a charitable view of the usefulness of QALYs.) This takes care of the costs of health care resources in the estimation of the cost per QALY tables. Next, Gerard and Mooney argue persuasively that the costs that fall on society generally when we implement health care interventions-patients’ time is a good example-need special consideration. These non-health service

Journal

Health Economics – Wiley

Published: Jan 1, 1994

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