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COHERE - Centre of Health Economics Research, University of Southern Denmark COHERE Working Paper
COHERE - Centre of Health Economics Research, University of Southern Denmark

No 2014:1:
Normative foundations for equity-sensitive population health evaluation functions

Juan D. Moreno-Ternero () and Lars Peter ěsterdal ()

Abstract: Standard models for the evaluation of population health, such as the so-called models of aggregate Quality Adjusted Life Years (QALYs), or aggregate Healthy Years Equiva- lent (HYEs), are usually criticized on equity grounds. We provide in this paper normative justi_cations for alternative equity-sensitive models, such as the so-called models of mul- tiplicative QALYs, multiplicative HYEs, and generalizations of the two. Our axiomatic approach assumes social preferences over distributions of individual health states experi- enced in a given period of time. It conveys informational simplicity, as it does not require information about individual preferences on health.

Keywords: Population health; equity; HYEs; QALYs; axioms; (follow links to similar papers)

JEL-Codes: D63; I10; (follow links to similar papers)

20 pages, January 10, 2014

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