A new axiomatic approach to the evaluation of population health

被引:15
|
作者
Hougaard, Jens Leth [1 ]
Moreno-Ternero, Juan D. [2 ,3 ]
Osterdal, Lars Peter [4 ,5 ]
机构
[1] Univ Copenhagen, Inst Food & Resource Econ, DK-1168 Copenhagen, Denmark
[2] Univ Pablo de Olavide, Dept Econ, Seville, Spain
[3] Catholic Univ Louvain, CORE, Louvain, Belgium
[4] Univ So Denmark, Dept Econ & Business, DK-5230 Odense M, Denmark
[5] Univ So Denmark, Ctr Hlth Econ Res, DK-5230 Odense M, Denmark
关键词
Population health; Social preferences; QALYs; HYEs; Axioms; ADJUSTED LIFE-YEARS; RESOURCE-ALLOCATION; QALY MODEL; UTILITY; EQUITY; CARE; HYES; EQUIVALENTS;
D O I
10.1016/j.jhealeco.2013.01.006
中图分类号
F [经济];
学科分类号
02 ;
摘要
In this paper we explore the implications of normative 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 new rationale for popular theories in health economics, such as the unweighted aggregation of quality-adjusted life years (QALYs) or healthy years equivalents (HYEs) and generalizations of the two, aimed to capture concerns for distributive justice, without resorting to controversial assumptions on individual preferences. (C) 2013 Elsevier B.V. All rights reserved.
引用
收藏
页码:515 / 523
页数:9
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