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Normative foundations for equity-sensitive population health evaluation functions

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Author Info

  • Moreno-Ternero, Juan D.

    ()
    (Department of Economics, Universidad Pablo de Olavide)

  • Østerdal, Lars Peter

    ()
    (COHERE, Department of Business and Economics, University of Southern Denmark)

Abstract

Standard models for the evaluation of population health, such as the so-called models of aggregate Quality Adjusted Life Years (QALYs), or aggregate Healthy Years Equiva- lent (HYEs), are usually criticized on equity grounds. We provide in this paper normative justi_cations for alternative equity-sensitive models, such as the so-called models of mul- tiplicative QALYs, multiplicative HYEs, and generalizations of the two. Our axiomatic approach assumes social preferences over distributions of individual health states experi- enced in a given period of time. It conveys informational simplicity, as it does not require information about individual preferences on health.

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Bibliographic Info

Paper provided by COHERE - Centre of Health Economics Research, University of Southern Denmark in its series COHERE Working Paper with number 2014:1.

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Length: 20 pages
Date of creation: 10 Jan 2014
Date of revision:
Handle: RePEc:hhs:sduhec:2014_001

Contact details of provider:
Postal: COHERE - Center for Sundhedsøkonomisk Forskning, Institut for Virksomhedsledelse og Økonomi, Syddansk Universitet, Campusvej 55, DK-5230 Odense M, Denmark
Phone: (+45) 6550 3081
Fax: (+45) 6550 3880
Email:
Web page: http://www.sdu.dk/Om_SDU/Institutter_centre/cCohere
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Related research

Keywords: Population health; equity; HYEs; QALYs; axioms;

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References

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  1. BOSSERT, Walter & D’AMBROSIO, Conchita, 2009. "Measuring Economic Insecurity," Cahiers de recherche 2009-06, Universite de Montreal, Departement de sciences economiques.
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  7. Bleichrodt, Han & Wakker, Peter & Johannesson, Magnus, 1997. "Characterizing QALYs by Risk Neutrality," Journal of Risk and Uncertainty, Springer, vol. 15(2), pages 107-14, November.
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  13. Osterdal, Lars Peter, 2005. "Axioms for health care resource allocation," Journal of Health Economics, Elsevier, vol. 24(4), pages 679-702, July.
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  17. Williams, Alan & Cookson, Richard, 2000. "Equity in health," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 35, pages 1863-1910 Elsevier.
  18. Drummond, Michael F. & Sculpher, Mark J. & Torrance, George W. & O'Brien, Bernie J. & Stoddart, Greg L., 2005. "Methods for the Economic Evaluation of Health Care Programmes," OUP Catalogue, Oxford University Press, edition 3, number 9780198529453.
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