Integrating equity and productivity in health evaluation

Kristian S. Hansen, Juan D. Moreno-Ternero and Lars P. {\O}sterdal

Papers from arXiv.org

Abstract: This paper develops a unified framework for evaluating health outcomes that jointly incorporates equity and productivity. Extending beyond traditional QALYs, PALYs, and the more recent PQALYs, we introduce a broader class of evaluation functions that integrate equity- and productivity-sensitive conditions. By imposing several normative criteria, including independence from measurement scales and Pigou-Dalton transfer principles, we obtain tractable power-form representations. In balancing equity and efficiency, the framework provides a coherent foundation for assessing interventions in contexts where both health and productive capacity are at stake.

Date: 2026-05
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