Journal of Health Economics · 2026 · Kristian S. Hansen、Juan D. Moreno‐Ternero、Lars Peter Østerdal
中文摘要
本文构建了一个统一的健康结果评估框架,同时纳入公平与生产率因素。在传统质量调整生命年(QALYs)、生产率调整生命年(PALYs)以及较新的生产率加权质量调整生命年(PQALYs)的基础上进一步拓展,我们引入了一类更广泛的评估函数,将公平敏感与生产率敏感条件整合其中。通过施加若干规范性准则,包括对测量尺度的独立性以及庇古-道尔顿转移原理,我们得到了易于处理的幂形式表示。在平衡公平与效率方面,该框架为在健康与生产能力均受影响的情况下评估干预措施提供了一个连贯的基础。
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.