Quality-Adjusted Life-Years: Ethical Implications for Physicians and Policy Makers
La Puma, John
Lawlor, Edward F.
JAMA. 1990 Jun 6; 263(21): 2917-2921.
The quality adjusted life year (QALY) has been developed as a measure of health outcomes that reflects both lives saved and the values patients place on quality of life in alternative health states. QALYs represent a progression in the cost-effectiveness analysis of health care, and serious ethical questions have been raised about their use in allocation of health resources and in medical decision making. La Puma and Lawlor review the methodology and historical development of QALYs and attempt to identify the ethical issues they present. They regard current interest in QALYs as signaling shifts in the locus of control and the nature of the clinical encounter, shifts that reflect and reinforce the new "financial ethos" in health policy planning and in medical decision making. (KIE abstract)
Age Factors; Autonomy; Common Good; Costs and Benefits; Decision Making; Diagnosis; Economic Value of Life; Economics; Health; Health Care; Justice; Life; Moral Policy; Nature; Patients; Physicians; Policy Analysis; Public Policy; Qalys; Quality of Life; Remuneration; Resource Allocation; Review; Selection for Treatment; Utilitarianism; Value of Life; Values;
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