| Disability-adjusted life years: a critical review. | |
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MedLine Citation:
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PMID: 10176779 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The disability-adjusted life year (DALY) has emerged in the international health policy lexicon as a new measure of the 'burden of disease'. We argue that the conceptual and technical basis for DALYs is flawed, and its assumptions and value judgements are open to serious question. In particular, the implications of age-weighting and discounting are found to be unacceptable. Moreover, the proponents of DALYs do not distinguish between the exercises of measuring the burden of disease and of allocating resources. But the appropriate information sets for the two exercises are quite different. Allocating resources by aggregate DALY-minimization is shown to be inequitable. |
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Authors:
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S Anand; K Hanson |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of health economics Volume: 16 ISSN: 0167-6296 ISO Abbreviation: J Health Econ Publication Date: 1997 Dec |
Date Detail:
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Created Date: 1998-03-27 Completed Date: 1998-03-27 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8410622 Medline TA: J Health Econ Country: NETHERLANDS |
Other Details:
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Languages: eng Pagination: 685-702 Citation Subset: H |
Affiliation:
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St. Catherine's College, Oxford, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Age Factors Cost of Illness* Cost-Benefit Analysis / methods Disabled Persons* Evaluation Studies as Topic Health Care Rationing / economics, methods Health Services Research / methods Health Status Indicators* Humans Life Expectancy Models, Economic* Public Sector Social Justice Treatment Outcome Value of Life* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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