Access the full text.
Sign up today, get DeepDyve free for 14 days.
The Oregon experience : scales , numbers and their meaning
Chalfin Db (1995)
Cost-effectiveness analysis in health care.Hospital cost management and accounting, 7 4
(1999)
Copyright Ltd. Health Econ
P. Dolan (1998)
The measurement of individual utility and social welfare.Journal of health economics, 17 1
(1996)
The allocation of benefits in health care: Does equity matter? Paper for the First World Conference of the International Health Economics Association
E. Nord (1992)
An alternative to QALYs: the saved young life equivalent (SAVE)British Medical Journal, 305
D. Eddy (1991)
Oregon's methods. Did cost-effectiveness analysis fail?JAMA, 266 15
D. Patrick, J. Bush, Milton Chen (1973)
Methods for measuring levels of well-being for a health status index.Health services research, 8 3
J. Richardson (1994)
Cost utility analysis: what should be measured?Social science & medicine, 39 1
(1991)
QALYs: where next? Pro6iding health care: the economics of alternati6e systems of finance and deli6ery
A. Wagstaff (1991)
QALYs and the equity-efficiency trade-off.Journal of health economics, 10 1
M. Mulkay, M. Ashmore, T. Pinch (1987)
Measuring the Quality of Life: A Sociological Invention Concerning the Application of Economics to Health CareSociology, 21
J. Abellan-Perpiñan, J. Pinto-Prades (1999)
Health state after treatment: a reason for discrimination?Health economics, 8 8
H. Sintonen (1981)
An approach to measuring and valuing health states.Social science & medicine. Medical economics, 15 2
P. Ubel, G. Loewenstein, D. Scanlon, M. Kamlet (1996)
Individual Utilities Are Inconsistent with Rationing ChoicesMedical Decision Making, 16
J. Richardson, E. Nord (1997)
The importance of Perspective in the Measurement of Quality-adjusted Life YearsMedical Decision Making, 17
E. Nord (1993)
The relevance of health state after treatment in prioritising between different patients.Journal of Medical Ethics, 19
A. Culyer (1989)
THE NORMATIVE ECONOMICS OF HEALTH CARE FINANCE AND PROVISIONOxford Review of Economic Policy, 5
(1994)
Economics, QALYs and medical ethics
G. Mooney (1986)
Just Health CareJournal of Medical Ethics, 12
Alan Williams (1988)
Ethics and Efficiency in the Provision of Health CareRoyal Institute of Philosophy Lecture Series, 23
J. Prades (1997)
IS THE PERSON TRADE-OFF A VALID METHOD FOR ALLOCATING HEALTH CARE RESOURCESHealth Economics, 6
Alan Williams (1996)
QALYS and ethics: a health economist's perspective.Social science & medicine, 43 12
J. Barendregt, W. Nusselder, L. Bonneux (1997)
Global burden of diseaseThe Lancet, 350
F. Fowler, P. Cleary, M. Massagli, J. Weissman, Arnold Epstein (1995)
The Role of Reluctance to Give Up life in the Measurement of the Values of Health statesMedical Decision Making, 15
Alan Williams (1997)
Intergenerational equity: an exploration of the 'fair innings' argument.Health economics, 6 2
B. Kehrer, Jacques Gagg, M. Perlman (1983)
Health, Economics, and Health EconomicsSouthern Economic Journal, 49
(1999)
Oxford University Press, 1990
June O'Leary, Diane Fairclough, M. Jankowski, Jane Weeks (1995)
Comparison of Time-tradeoff Utilities and Rating Scale Values of Cancer Patients and Their RelativesMedical Decision Making, 15
Williams Williams (1987)
Response: QALYfying the value of lifeJournal of Medical Ethics, 13
Nord Nord (1993)
The relevance of health state after treatment in prioritising between patientsJournal of Medical Ethics, 19
P. Ubel, J. Richardson, P. Menzel (2000)
Societal value, the person trade-off, and the dilemma of whose values to measure for cost-effectiveness analysis.Health economics, 9 2
R. Frank (1984)
Medical Costs, Moral ChoicesJournal of Health Politics Policy and Law, 9
John Rawls (1971)
A Theory of JusticePrinceton Readings in Political Thought
(1991)
Weighing goods
E. Nord, J. Richardson, K. Macarounas-Kirchmann (1993)
Social Evaluation of Health Care Versus Personal Evaluation of Health States: Evidence on the Validity of Four Health-state Scaling Instruments Using Norwegian and Australian SurveysInternational Journal of Technology Assessment in Health Care, 9
E. Nord (1989)
The significance of contextual factors in valuing health states.Health policy, 13 3
E. Nord, J. Richardson, A. Street, H. Kuhse, P. Singer (1995)
Maximizing health benefits vs egalitarianism: an Australian survey of health issues.Social science & medicine, 41 10
(1998)
Measuring preferences o6er the distribution of health benefits
S. Glicher (1992)
An alternative to QALYs:saved young life equivalent (SAVE)British Medical Journal, 305
Daniel Callahan (1994)
Setting mental health priorities: problems and possibilities.The Milbank quarterly, 72 3
J. Harris (1987)
QALYfying the value of life.Journal of Medical Ethics, 13
(1993)
Helsepolitikere ønsker ikke mest mulig helse per krone. (Health politicians do not wish to maximize health benefits
D. Hadorn (1991)
Setting health care priorities in Oregon. Cost-effectiveness meets the rule of rescue.JAMA, 265 17
Nord Nord (1993)
Unjustified use of the Quality of Well‐being Scale in OregonHealth Policy, 24
E. Nord (1995)
The Person-trade-off Approach to Valuing Health Care ProgramsMedical Decision Making, 15
E. Nord (1993)
The trade-off between severity of illness and treatment effect in cost-value analysis of health care.Health policy, 24 3
D. Hadorn (1991)
Setting Health Care Priorities in Oregon-ReplyJAMA, 266
Michael Garland (1991)
Setting health care priorities in Oregon.Health matrix, 1 2
R. Rosser, P. Kind (1978)
A scale of valuations of states of illness: is there a social consensus?International journal of epidemiology, 7 4
J. Richardson (1998)
Critique and Some Recent Contributions to the Theory of Cost Utility Analysis Professor
Weinstein Weinstein, Stason Stason (1977)
Foundations of cost‐effectiveness analysis for health analysis and medical practicesNew England Journal of Medicine, 296
J. Bell, S. Mendus (1989)
Philosophy and Medical Welfare
R. Klein (1989)
The role of health economics.British Medical Journal, 299
M. Weinstein, W. Stason (1977)
Foundations of cost-effectiveness analysis for health and medical practices.The New England journal of medicine, 296 13
(1988)
Goodness, fairness and QALYs
F. Kamm (1990)
The report of the U.S. Task Force on Organ Transplantation: criticisms and alternatives.The Mount Sinai journal of medicine, New York, 56 3
P. Dolan (1997)
Aggregating Health State Valuations: A Reply to Erik Nord's CommentJournal of Health Services Research & Policy, 2
A. Mehrez, A. Gafni (1989)
Quality-adjusted Life Years, Utility Theory, and Healthy-years EquivalentsMedical Decision Making, 9
E. Nord (1993)
Unjustified use of the Quality of Well-Being Scale in priority setting in Oregon.Health policy, 24 1
M. Lockwood (1988)
Quality of Life and Resource AllocationRoyal Institute of Philosophy Lecture Series, 23
Hadorn Hadorn (1991)
Setting health care priorities in OregonJournal of the American Medical Association, 265
M. Stouthard, M. Essink‐bot, G. Bonsel (2000)
Disability Weights for Diseases: A Modified Protocol and Results for a Western European RegionEuropean Journal of Public Health, 10
Alan Williams (1987)
Brief response: QALYfying the value of lifeJournal of Medical Ethics, 13
E. Nord (1996)
Health Status Index Models for Use in Resource Allocation Decisions: A Critical Review in the Light of Observed Preferences for Social ChoiceInternational Journal of Technology Assessment in Health Care, 12
The paper addresses some limitations of the QALY approach and outlines a valuation procedure that may overcome these limitations. In particular, we focus on the following issues: the distinction between assessing individual utility and assessing societal value of health care; the need to incorporate concerns for severity of illness as an independent factor in a numerical model of societal valuations of health outcomes; similarly, the need to incorporate reluctance to discriminate against patients that happen to have lesser potentials for health than others; and finally, the need to combine measurements of health‐related quality of life obtained from actual patients (or former patients) with measurements of distributive preferences in the general population when estimating societal value. We show how equity weights may serve to incorporate concerns for severity and potentials for health in QALY calculations. We also suggest that for chronically ill or disabled people a life year gained should count as one and no less than one as long as the year is considered preferable to being dead by the person concerned. We call our approach ‘cost‐value analysis’. Copyright © 1999 John Wiley & Sons, Ltd.
Health Economics – Wiley
Published: Feb 1, 1999
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.