Integrating Equity and Productivity in Health Evaluation

This paper develops a unified framework for evaluating health outcomes that jointly incorporates equity and productivity. Extending beyond traditional QALYs, PALYs, and the more recent PQALYs, we introduce a class of evaluation functions that integrate fairness- and productivity-sensitive principles. By imposing normative principles, includ-ing independence from measurement scales and Pigou-Dalton transfer properties, we ob-tain tractable power-form representations. In balancing distributive justice and efficiency, the framework provides a coherent foundation for assessing health interventions in con-texts where both equity and productive capacity are at stake.