Jump to ContentJump to Main Navigation
The Handbook of Rational and Social Choice$
Users without a subscription are not able to see the full content.

Paul Anand, Prasanta Pattanaik, and Clemens Puppe

Print publication date: 2009

Print ISBN-13: 9780199290420

Published to Oxford Scholarship Online: May 2009

DOI: 10.1093/acprof:oso/9780199290420.001.0001

Show Summary Details
Page of

PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2020. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 24 October 2020

Social Choice in Health and Health Care *

Social Choice in Health and Health Care *

The Handbook of Rational and Social Choice

Aki Tsuchiya

John Miyamoto

Oxford University Press

A large part of health economics concerns the methodology of informing the best way to allocate health‐care resources at the social level, and the actual delivery of such information. One typical analytical approach is called the cost per QALY analysis, where health gains are quantified in terms of QALYs (Quality-Adjusted Life-Years). The QALY is a composite measure of the duration of survival and the health‐related quality of life associated with each period of survival. This chapter examines the nature of the QALY as the desideratum; why should we regard the QALY as the desideratum in health care? Two schools of thought are discussed. The welfarist school holds that the QALY is the desideratum because it is a representation of people's utility associated with their own health state. The non‐welfarist school proposes an alternative view and argues that the QALY is the desideratum because this is what publicly funded health‐care systems are set up for. The second part of the chapter looks at different ways in which individual QALYs can be aggregated across the population, in the form of a health‐related social welfare function, in order to facilitate economic evaluations.

Keywords:   QALYs, aggregation, health‐related social welfare function, equality, equity

Oxford Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs , and if you can't find the answer there, please contact us .