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Do Quality-Adjusted-Life-Year-Based Cost-Effectiveness Analyses Discriminate Against Disabled Patients? A Theoretical

Yue Ma1, Peter J Numman2, David J Vanness3

  • 1Department of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada; School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, China; Center for Pharmacoeconomics and Outcome Research, China Pharmaceutical University, Nanjing, China.

Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research
|April 30, 2026
PubMed
Summary

Quality-adjusted life years (QALYs) in cost-effectiveness analyses (CEAs) do not appear to disadvantage disabled populations. Studies show disabled subgroups often achieve greater QALY gains, challenging discrimination concerns.

Keywords:
QALYcost-effectiveness analysisdisabilityempirical evidencehealth equitytheoretical analysis

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