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A note on HYE (healthy years equivalent)

K Buckingham1

  • 1Department of Public Health, Foresterhill, Aberdeen, UK.

Journal of Health Economics
|September 5, 1993
PubMed
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The Healthy Years Equivalent (HYE) health outcome measure is conceptually flawed. Its complex valuation is equivalent to the Time Trade-Off, making its claimed superiority over the Quality Adjusted Life Year (QALY) invalid.

Area of Science:

  • Health Economics
  • Outcome Measurement
  • Decision Science

Background:

  • The Healthy Years Equivalent (HYE) is a health outcome measure.
  • Claims of its superiority over other measures require examination.
  • Understanding health outcome valuation is crucial for healthcare decision-making.

Purpose of the Study:

  • To provide a simplified description of the HYE measure.
  • To critically examine the theoretical validity of claims made for the HYE.
  • To compare the HYE with the Quality Adjusted Life Year (QALY).

Main Methods:

  • Conceptual analysis of the HYE measure.
  • Examination of the theoretical underpinnings of HYE valuation.
  • Comparison of HYE methodology with Time Trade-Off (TTO) and QALY.

Related Experiment Videos

Main Results:

  • The HYE measure is conceptually flawed due to conflating value measures with valued entities.
  • The multi-stage valuation process in HYE is an indirect application of the Time Trade-Off (TTO).
  • The claimed advantages of HYE over QALY are unsubstantiated.

Conclusions:

  • The HYE measure's theoretical validity is compromised.
  • The HYE is not a superior alternative to the QALY.
  • Healthcare outcome measurement requires clear conceptual frameworks.