منابع مشابه
Unprincipled QALYs: a response to Cubbon.
Defenders ofQALYs persistently and perversely argue from the unexceptionable premise that QALYs (years of quality life-time) are a 'basic human need in all times and places' to the unjustified and dangerous conclusions that they are a defensible and perhaps desirable principle to use in determining the allocation of health care resources. The nub of the problem may be brought out in the followi...
متن کاملReprocessing data to form QALYs.
OBJECTIVES To determine whether reprocessing data from published sources into quality adjusted life years (QALYs), as recommended in The QALY Toolkit, is a useful method of helping purchasing authorities to determine the most cost effective pattern of care to buy for their populations. SETTING United Kingdom. DESIGN The method was tested for six elective surgical conditions; data from publi...
متن کاملIn praise of unprincipled ethics.
In this paper a plea is made for an unprincipled approach to biomedical ethics, unprincipled of course just in the sense that the four principles are neither the start nor the end of the process of ethical reflection. While the four principles constitute a useful "checklist" approach to bioethics for those new to the field, and possibly for ethics committees without substantial ethical expertis...
متن کامل"The trouble with QALYs...".
This paper summarises the use of QALYs in evaluating changes in mental health states, highlighting the benefits and challenges of their use in this field. The general principles underlying the QALY measure and the most common methods of measuring QALYs are discussed briefly. Evidence of the usefulness and problems of using this generic measure of health-related quality of life are provided from...
متن کاملPreferences, needs and QALYs.
Quality Adjusted Life Years (QALYs) have become a household word among health economists. Their use as a means of comparing the value of health programmes and medical interventions has stirred up controversy in the medical profession and the academic community. In this paper, I argue that QALY analysis does not adequately take into account the differentiated nature of the health state values it...
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ژورنال
عنوان ژورنال: Journal of Medical Ethics
سال: 1992
ISSN: 0306-6800
DOI: 10.1136/jme.18.2.100