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Cost-Value Analysis in Health Care
Making Sense out of QALYS

Part of Cambridge Studies in Philosophy and Public Policy

  • Author: Erik Nord, National Institute of Public Health, Oslo
  • Date Published: February 2000
  • availability: Available
  • format: Hardback
  • isbn: 9780521643085


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About the Authors
  • This book is a comprehensive account of what it means to try to quantify health in distributing resources for health care. It examines the concept of QALYs (Quality Adjusted Life Year) which supposedly makes it more accurate to talk about life in terms of both quality and quantity of years lived when referring to health care policy. It offers an elegant new approach to comparing the costs and benefits of medical interventions. Cost-Utility Analysis (CUA) is a method designed by economists to aid decision makers distribute scarce resources to areas of health care where they will yield the greatest benefits. Erik Nord questions the feasibility of measuring patients' quality of life meaningfully in numerical terms, as CUA presupposes. He presents an alternative approach called cost-value analysis in which representative samples of the general public express preferences between different health-care programs. In this approach, subjects are allowed to include concerns for fairness that go beyond concerns for efficiency of conventional health economics.

    • Deals with topic of perennial and international concern - the distribution of scarce health-care resources
    • Offers an interesting approach to the debate on how to assess and quantify the value of health
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    Reviews & endorsements

    'Nord is at the forefront of thinking about the best way to allocate health care efficiently and equitably, and he has extensive knowledge of the empirical research being done in this area. Anyone interested in the ethical problems of heath care allocation - especially anyone interested in the fundamental question of what health care allocation should be trying to achieve - will benefit from reading this book.' John McKie, Bioethics

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    Product details

    • Date Published: February 2000
    • format: Hardback
    • isbn: 9780521643085
    • length: 182 pages
    • dimensions: 236 x 158 x 20 mm
    • weight: 0.39kg
    • contains: 5 b/w illus. 17 tables
    • availability: Available
  • Table of Contents

    Reader's guide
    1. Maximizing value in health care
    2. Three basic issues in economic evaluation
    3. The QALY approach
    4. Concerns for fairness
    5. The limitations of utility measurement
    6. Ways to go

  • Author

    Erik Nord, National Institute of Public Health, Oslo

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