Cost-effectiveness is basically based on the principle of health maximization. A decision based on cost per QALY has an ethical implication that 1 QALY incurred by everyone is of equal value. However, many literatures found that the public preferences depend on who the beneficiaries are, and therefore the social values of a QALY are not equal to everyone. This study focuses on the age among the factors that determine the social value of a QALY. It examines the philosophical and theoretical debate that considers age as a criterion of priority setting, including the concept of “fair inning” and outlines the direction of social preference found in empirical studies. In addition, this paper will briefly examine how the prioritization formula proposed in other countries relates to age, and seek policy implications.
목차
Abstract 서론 연령 가중치의 이론적 근거 1. 공정수명 주장 2. 공리주의적 접근 3. 질병의 중증도와 공정수명 현실 정책에의 반영 1. 질병의 중등도, 생애건강손실, AS, PS 2. 국가별 사례 실증분석 결과 고찰 및 결론 참고문헌
키워드
age weightingfair inningshealth maximizationsocial valueabsolute shortfallproportional shortfall
한국보건사회약료경영학회 [Korean Academy of Social & Managed Care Phemacy]
설립연도
2009
분야
의약학>약학
소개
본 학회는 비영리 학술단체로서 환자의 삶의 질 향상을 위한 약료(pharmaceutical care)가 보장될 수 있도록 약료경영약학(managed care pharmacy)을 발전시키는 데 궁극 목적을 두고 다음과 같은 활동을 전개하여 사회에 기여하며 회원 상호간의 친목을 도모한다.
간행물
간행물명
한국보건사회약료경영학회지 [Journal of Korean Academy of Managed Care Pharmacy]