Integrating equity and productivity in health evaluation
Kristian S. Hansen, Juan D. Moreno-Ternero, Lars P. Østerdal
TLDR
This paper introduces a unified framework for health evaluation that jointly incorporates equity and productivity, extending traditional QALYs and PALYs.
Key contributions
- Develops a unified framework for health outcome evaluation.
- Jointly incorporates equity and productivity considerations.
- Extends traditional QALYs, PALYs, and PQALYs.
- Derives tractable power-form representations using normative criteria.
Why it matters
This framework offers a coherent foundation for assessing health interventions. It is crucial for contexts where both health and productive capacity are at stake, enabling a better balance between equity and efficiency.
Original Abstract
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 broader class of evaluation functions that integrate equity- and productivity-sensitive conditions. By imposing several normative criteria, including independence from measurement scales and Pigou-Dalton transfer principles, we obtain tractable power-form representations. In balancing equity and efficiency, the framework provides a coherent foundation for assessing interventions in contexts where both health and productive capacity are at stake.
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