Improving Cross-Sector Comparisons: Going Beyond the Health-Related QALY.
The quality-adjusted life-year (QALY) has become a widely used measure of health outcomes for use in informing decision making in health technology assessment. However, there is growing recognition of outcomes beyond health within the health sector and in related sectors such as social care and public health. This paper presents the advantages and disadvantages of ten possible approaches covering extending the health-related QALY and using well-being and monetary-based methods, in order to address the problem of using multiple outcome measures to inform resource allocation within and between sectors.
School of Health and Related Research (ScHARR), University of Sheffield, 30 Regent Street, Sheffield, S1 4DA, UK. j.e.brazier@sheffield.ac.uk.
John
J
Brazier
School of Health and Related Research (ScHARR), University of Sheffield, 30 Regent Street, Sheffield, S1 4DA, UK.
Aki
A
Tsuchiya
D005382:Financing, Personal; D006306:Health Surveys / Q000592:standards*; D006801:Humans; D010043:Outcome and Process Assessment, Health Care / Q000191:economics; D010549:Personal Satisfaction; D058996:Quality Improvement; D019057:Quality-Adjusted Life Years