1 Department of Economics, Faculty of Social Sciences, Københavns Universitet2 Development Economics Research Group (DERG), Department of Economics, Faculty of Social Sciences, Københavns Universitet3 Department of Economics, Faculty of Social Sciences, Københavns Universitet
Considerable support for the use of person trade-off methods to assess the quality-adjustment factor in quality-adjusted life years (QALY) models has been expressed in the literature. The WHO has occasionally used similar methods to assess the disability weights for calculation of disability-adjusted life years (DALYs). This paper discusses the theoretical support for the use of person trade-offs in QALY-type measurement of (changes in) population health. It argues that measures of this type based on such quality-adjustment factors almost always violate the Pareto principle, and so lack normative justification.
European Journal of Health Economics (print Edition), 2009, Vol 10, Issue 4, p. 429-436
Faculty of Social Sciences; QALY; DALY; Pareto principle; Social welfare