Economics, health and health economics: HYEs versus QALYs

Gafni, Amiram; Birch, Stephen; Mehrez, Abraham

doi:10.1016/0167-6296(93)90015-7

Cited by 83 publications

(55 citation statements)

References 30 publications

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“…Proposed alternatives include healthy-years equivalents (HYEs) (74), saved young life equivalents (87), and disability-adjusted life years (DALYs) (79), although the options have their own limitations and are subject to debate themselves (47). HYEs have been proposed as an alternative to QALYs (41,74,75) based on the claim that they avoid certain restrictive assumptions about preferences. For example, supporters claim that HYEs generalize from the constant proportionality of QALYs by permitting the rate of tradeoff between life years and quality of life to depend on the life span.…”

Section: Proposed Alternatives To Qalysmentioning

confidence: 99%

“…Some researchers have argued for methods other than QALYs, maintaining that the QALY approach is too complex (24) or, in some cases, advocating the use of more complex measures (41,74,75). Proposed alternatives include healthy-years equivalents (HYEs) (74), saved young life equivalents (87), and disability-adjusted life years (DALYs) (79), although the options have their own limitations and are subject to debate themselves (47).…”

Section: Proposed Alternatives To Qalysmentioning

confidence: 99%

See 1 more Smart Citation

Preference-Based Measures in Economic Evaluation in Health Care

Neumann¹,

Goldie²,

Weinstein³

2000

Annu. Rev. Public Health

257

250

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Estimating preferences for states of health has been an active area of research in recent years. Unlike psychophysical approaches, which discriminate levels of health status, preference-based approaches incorporate values or utilities for health outcomes and can be used in cost-effectiveness analyses to aid resource allocation decisions. This chapter considers issues and controversies involved in using preference-based measures in economic evaluation in health care, with a particular emphasis on cost-utility analysis and the estimation of quality-adjusted life years. Topics considered include techniques for measuring preferences, the use of preference-based classification systems, the relationship between patient and community preferences, methods for obtaining utilities from clinical trials, mapping health status from health utilities, the development of "off-the-shelf" preference weights, and proposed alternatives to quality-adjusted life years. We also consider applications of cost-utility analyses to public health interventions. Although cost-utility analyses have become more popular recently, many challenges remain for the field. Widespread acceptance of the methodology likely awaits more consensus on measurement techniques, as well as educational efforts in the public health and medical communities on the usefulness of the approach.

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Section: Proposed Alternatives To Qalysmentioning

confidence: 99%

Section: Proposed Alternatives To Qalysmentioning

confidence: 99%

Preference-Based Measures in Economic Evaluation in Health Care

Neumann¹,

Goldie²,

Weinstein³

2000

Annu. Rev. Public Health

257

250

View full text Add to dashboard Cite

show abstract

“…They translate into our context two of the most well-known and employed techniques to measure the benefits of health interventions in cost-utility analyses. Those techniques were initially considered as polars, although some of their differences and similar aspects were addressed (e.g., Mehrez and Gafni, 1989;Culyer and Wagstaff, 1993;Gafni et al, 1993;Bleichrodt, 1995). We have seen in this paper that they share a solid common ground.…”

Section: Discussionmentioning

confidence: 99%

“…We shall also single out the so-called linear HYE function, which evaluates population health by means of the unweighted aggregation of healthy years equivalents (HYEs). In doing so, we shall be able to scrutinize further the similarities and differences between these two focal concepts (HYEs and QALYs) in health economics, an aspect that has received considerable attention in the literature (e.g., Mehrez and Gafni, 1989;Culyer and Wagstaff, 1993;Gafni et al, 1993;Bleichrodt, 1995).…”

Section: Introductionmentioning

confidence: 99%

A new axiomatic approach to the evaluation of population health

Hougaard

Moreno‐Ternero

Østerdal

2013

Journal of Health Economics

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We explore in this paper the implications of ethical and operational principles for the evaluation of population health. We formalize those principles as axioms for social preferences over distributions of health for a given population. We single out several focal population health evaluation functions, which represent social preferences, as a result of combinations of those axioms. Our results provide rationale for popular theories in health economics (such as the unweighted aggregation of QALYs or HYEs, and generalizations of the two, aimed to capture concerns for distributive justice) without resorting to controversial assumptions over individual preferences.JEL numbers: D63, I10.

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“…This is in contrast to trial 29 evidence, for example, where the criteria for assessing the quality of studies are well 30 established. 31 32 In what follows, section two sets out the QALY model and the assumptions that are tested 33 here. Section three describes how the systematic review was undertaken and presents some 34 summary data about the studies included in the review.…”

Section: Introductionmentioning

confidence: 99%

The QALY Model and Individual Preferences for Health States and Health Profiles over Time: A Systematic Review of the Literature

Tsuchiya

Dolan

2005

Med Decis Making

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Published paperTsuchiya, A., Dolan, P. (2005 ABSTRACTThe numbers of quality-adjusted life years (QALYs) gained are increasingly being used to represent the gains in individual utility from treatment. This requires that the value of a health improvement to an individual is a simple product of gains in quality of life and length of life. The paper reports on a systematic review of the literature on two issues: whether the value of a state is affected by how long the state lasts; and by states that come before or after it. It was found that individual preferences over health are influenced by the duration of health states and their sequence. However, whilst there is much variation across individual respondents, the assumptions tend to hold much better when valuations are aggregated across respondents, which is encouraging for economic evaluations that rely on using average (mean or median) values.(139 words)

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Economics, health and health economics: HYEs versus QALYs

Cited by 83 publications

References 30 publications

Preference-Based Measures in Economic Evaluation in Health Care

Preference-Based Measures in Economic Evaluation in Health Care

A new axiomatic approach to the evaluation of population health

The QALY Model and Individual Preferences for Health States and Health Profiles over Time: A Systematic Review of the Literature

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