论公平性加权的QALYs原则——在健康最大化与健康公平之间寻求平衡  

Discussion on the principle of equity weighted QALYs:the balance between health maximum and health equity

作　　者：王珀[1] 

机构地区：[1]中国社会科学院研究生院,北京102488

出　　处：《卫生经济研究》2012年第10期14-17,共4页

摘　　要：由于传统的QALYs最大化原则没能很好地体现出社会公平的价值诉求,本文试图在QALYs框架内寻求一种健康最大化与健康公平的恰当权衡:通过赋予较不利者QALYs收益较大的权重,从而得到一种加权QALYs最大化原则。同时,将较不利者界定为病情较严重者,分析了"严重性"概念的内涵,并认为Johannesson公平性权值公式是最符合"严重性"观念的权值计算方法。最后,讨论了这种加权QALYs最大化原则的优缺点、改进方法及实践价值。The traditional QALYs maximum does not include the value of equity. We explored to find a weighted QALYs which reaches the balance between health maximum and equity. We gave the weak a higher weight and make the weighted QALYs maximum. We also defined the weak as the one who got more serious illness. We analyzed the concept of seriousness and thought Johannesson equity weight equation is most suitable. We eventually discussed the advantage and disadvantage of the weighted QALYs, and its improvement and practice value.

关 键 词：QALY 健康最大化 健康公平 严重性 医疗分配 

分 类 号：R19[医药卫生—卫生事业管理]