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  1. Utilitarianism and the Measurement and Aggregation of Quality-Adjusted Life Years.Paul Dolan - 2001 - Health Care Analysis 9 (1):65-76.
    It is widely accepted that one of the main objectives of government expenditure on health care is to generate health. Since health is a function of both length of life and quality of life, the quality-adjusted life-year (QALY) has been developed in an attempt to combine the value of these attributes into a single index number. The QALY approach - and particularly the decision rule that healthcare resources should be allocated so as to maximise the number of QALYs generated - (...)
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  • QALYS and the integration of claims in health care rationing.Paul Anand - 1999 - Health Care Analysis 7 (3):239-253.
    The paper argues against the polarisation of the health economics literature into pro- and anti-QALY camps. In particular, we suggest that a crucial distinction should be made between the QALY measure as a metric of health, and QALY maximisation as an applied social choice rule. We argue against the rule but for the measure and that the appropriate conceptualisation of health-care rationing decisions should see the main task as the integration of competing and possibly incommensurable normative claim types. We identify (...)
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