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Improving Cross-Sector Comparisons: Going Beyond the Health-Related QALY

OPEN Applied health economics and health policy | 2 Sep 2015

J Brazier and A Tsuchiya
Abstract
The quality-adjusted life-year (QALY) has become a widely used measure of health outcomes for use in informing decision making in health technology assessment. However, there is growing recognition of outcomes beyond health within the health sector and in related sectors such as social care and public health. This paper presents the advantages and disadvantages of ten possible approaches covering extending the health-related QALY and using well-being and monetary-based methods, in order to address the problem of using multiple outcome measures to inform resource allocation within and between sectors.
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Concepts
Medical ethics, Cost-utility analysis, Resource allocation, Game theory, Quality-adjusted life year, Health care, Health economics
MeSH headings
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