doi: 10.2190/HPLM-EGXV-BWKY-5XBN.
Allocating resources to health care: is the QALY (Quality Adjusted Life Year) a technical solution to a political problem?
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- PMID: 2071312
- DOI: 10.2190/HPLM-EGXV-BWKY-5XBN
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Allocating resources to health care: is the QALY (Quality Adjusted Life Year) a technical solution to a political problem?
Int J Health Serv.
1991.
Abstract
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.
Comment in
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Is the QALY a technical solution to a political problem? Of course not!Int J Health Serv. 1991;21(2):365-9; discussion 371-2. doi: 10.2190/WFMX-Y3VX-4UN8-8XMP. Int J Health Serv. 1991. PMID: 2071313
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