QALYs, Person Trade-Offs, and the Pareto Principle

Lars Peter Østerdal

No 04-10, Discussion Papers from University of Copenhagen. Department of Economics

Abstract: A considerable literature seems to argue the use of person trade-offs to estimate the quality-adjustment factor in Quality-Adjusted Life Years (QALY) models. A similar practise is followed by the WHO to estimate the disability weights used in calculation of Disability-Adjusted Life Years (DALY) for assessment of region- and disease-specific burden of disease. In this note we show that QALY (and DALY) models based on person trade-off scores generally violate the Pareto principle.

Keywords: person trade-off; QALY; DALY; Pareto principle; social welfare (search for similar items in EconPapers)
JEL-codes: D6 H4 I1 (search for similar items in EconPapers)
Pages: 12 pages
Date: 2004-07
New Economics Papers: this item is included in nep-hea
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