Cost-utility analysis as a mechanism for allocation of health care resources | Avaliação de custo-utilidade como mecanismo de alocação de recursos em saúde

Journal article


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Publication Details

Subtitle: A review of the debate | Revisão do debate
Author list: Pinho, M.M., & Veiga, P.A.C.V.
Publisher: Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
Publication year: 2009
Journal: Cadernos de Saúde Pública (0102-311X)
Volume number: 25
Issue number: 2
Start page: 239
End page: 250
Number of pages: 12
ISSN: 0102-311X
eISSN: 1678-4464
Languages: Portuguese-Portugal (PT-PT)


Priority setting in health care involves choosing between alternative
health care programs and/or patients or groups of patients who will
receive care. Traditionally, health economists have proposed maximizing
the additional health gain measured in QALYs as a. way of setting
priorities and maximizing social welfare. This requires that the social
value from health improvements be a product of gains in years of life,
quality of life, and number of people treated. The results of a
literature review suggest that potential health gain is not a single
relevant determinant of value, nor is the rule of maximizing this gain
sufficient. The social value of a. health gain appears not to be linear
in terms of mortality and morbidity, or neutral vis-á-vis people's
characteristics or the ultimate distribution of health in society. In
parallel with the review of the debate on the role and limitation of
QALYs for prioritizing health care resources, the article attempts to
justify the controversy over some empirical results, particularly in
relation to the construction and expression of social preferences.


Equity, Health, Health priorities, Health resources


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Last updated on 2019-13-08 at 00:15