A QALY-based societal health statistic for Canada, 1985

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

This paper assesses the appropriateness of QALYs (quality adjusted life years) as a foundation for an index of societal health, and the feasibility of using such an index to guide health care policy. Results of this paper suggest that the standard aggregate QALY index imposes an ethical position on policy makers which may promote inequality in well-being associated with health. It is possible to rectify this problem in theory, but current data are insufficient to estimate such corrected indices. A QALY-based index, constructed using the best available data, indicates morbidity has a significant effect on Canadian health status (e.g. life expectancy figures alone overstate community health by about 10%), that the impact of morbidity is unequal across regions and gender, and that role (the ability to fulfil social functions) and mobility dysfunction are important determinants of ill-health in this population.

Original languageEnglish (US)
Pages (from-to)1417-1427
Number of pages11
JournalSocial Science and Medicine
Volume41
Issue number10
DOIs
StatePublished - Jan 1 1995

Fingerprint

health statistics
Quality-Adjusted Life Years
Canada
Health
health
Social Mobility
morbidity
Morbidity
Aptitude
Health Policy
Life Expectancy
Administrative Personnel
social function
Health Status
life expectancy
health status
Delivery of Health Care
quality of life
well-being
Statistics

Keywords

  • community health
  • health status
  • QALYs
  • values

ASJC Scopus subject areas

  • Health(social science)
  • History and Philosophy of Science

Cite this

A QALY-based societal health statistic for Canada, 1985. / Holmes, Ann.

In: Social Science and Medicine, Vol. 41, No. 10, 01.01.1995, p. 1417-1427.

Research output: Contribution to journalArticle

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