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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

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Published on: January 12, 2018

Lifetime QALY prioritarianism in priority setting.

Trygve Ottersen¹

¹Department of Public Health and Primary Health Care, University of Bergen, Kalfarveien 31, Bergen 5018, Norway. trygve.ottersen@isf.uib.no

Journal of Medical Ethics

|December 4, 2012

Summary

Health resource allocation prioritizes greater benefit and aiding the worse off. This study defines the worse off as those with fewer lifetime Quality-Adjusted Life Years (QALYs), exploring alternative definitions.

Area of Science:

Health Economics
Public Health Policy
Bioethics

Background:

Priority setting in health resource allocation is guided by principles like maximizing health benefit and aiding disadvantaged populations.
These principles align with prioritarianism, a framework for distributive justice.
Operationalizing prioritarianism requires a clear definition of 'worse off'.

Purpose of the Study:

To examine the definition of 'worse off' within health priority setting.
To propose defining the 'worse off' as individuals with fewer lifetime Quality-Adjusted Life Years (QALYs).
To contrast this QALY-based definition with alternative specifications.

Main Methods:

Conceptual analysis of ethical principles in health economics.
Examination of prioritarianism and its application to health interventions.

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Comparative analysis of different metrics for defining disadvantage.

Main Results:

The 'greater benefit' and 'worse off' principles are foundational to health priority setting.
Defining the 'worse off' by lifetime Quality-Adjusted Life Years (QALYs) offers a quantifiable approach.
Alternative definitions of 'worse off' exist and warrant consideration.

Conclusions:

Defining the 'worse off' by lifetime QALYs is a viable operationalization of prioritarian principles in health.
The choice of definition for 'worse off' significantly impacts health resource allocation decisions.
Further research is needed to evaluate the implications of different 'worse off' specifications.