Scandinavian Working Papers in Economics

DaCHE discussion papers,
University of Southern Denmark, Dache - Danish Centre for Health Economics

No 2012:3: A new axiomatic approach to the evalution of population health

Jens Leth Hougaard, Juan D. Moreno-Ternero and Lars Peter Østerdal ()
Additional contact information
Jens Leth Hougaard: Institute of Food and Resourse Economics, University of Copenhagen, Postal: University of Copenhagen, Bülowsvej 17, DK-1870 Frederiksberg C , Denmark
Juan D. Moreno-Ternero: Department of Economics, Universidad Pablo de Olavide, Postal: Universidad Pablo Olavide, Carretera Utrera, Km 1, , 41013 Sevilla, Spanien ,
Lars Peter Østerdal: COHERE, Department of Business and Economics, Postal: University of Southern Denmark, Campusvej 55, DK-5230, Denmark

Abstract: In this paper we explore the implications of fundamental principles for the evaluation of population health. We formalize those principles as axioms for social preferences over dis- tributions of health for a given population. We single out several focal population health evaluation functions, which represent social preferences, as a result of combinations of those axioms. Our results provide rationale for popular theories in health economics, such as the unweighted aggregation of quality-adjusted life years (QALYs) or healthy years equivalents (HYEs) and generalizations of the two, aimed to capture concerns for distributive justice, without resorting to controversial assumptions over individual preferences.

Keywords: population health; QALYs; HYEs; axioms

JEL-codes: D63; I10

24 pages, March 1, 2012

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