title: Is the QALY blind, deaf and dumb to equity? NICE's considerations over equity.
abstract: BACKGROUND
  The quality-adjusted life year (QALY) is the preferred measure of health outcome used to inform decisions over the use of health care interventions in the UK NHS. This measure considers the overall impact of alternative interventions on both the quantity and quality of life.
  
  
  METHODS
  Review of the relevant literature. Areas of agreement The QALY assumes that health improvement is equally valued between individuals. Areas of controversy Some can perceive as equitable, that is fair, the assumption that health improvement is equally valued between individuals in the QALY. However, others may believe that this assumption leaves no space for alternative views over equity to be explicitly considered in societal decision making.
  
  
  CONCLUSIONS
  The role of equity in decision making in the UK has been subject of intense debate, and controversy, and to-date there is no consensus on whether, or how, should NICE should change their general process.
  
  
  CONCLUSIONS
  Further examination of the issues needs to be debated and researched.
authors.affiliation: University of York, York, UK. ms602@york.ac.uk
authors.forename: M O
authors.initials: MO
authors.lastname: Soares
mesh_terms: D003657:Decision Making; D006077:Government Agencies; D015276:Health Care Rationing / Q000379:methods*; D054624:Health Status Disparities; D006801:Humans; D019057:Quality-Adjusted Life Years; D013222:State Medicine / Q000458:organization & administration; D006113:United Kingdom