| 引用本文: |
王昊德,罗雅双,顾一纯,等.质量调整生命年内涵变化及其对效用积分体系构建影响的综述[J].中国卫生经济,2023,42(11):7-10.[点击复制] |
Wang Haode,Luo Yashuang,Gu Yichun,et al.Review on the Indication on Extending the QALY and Its Influenceon Health State Valuation[J].CHINESE HEALTH ECONOMICS,2023,42(11):7-10.[点击复制] |
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| 摘要: |
| 质量调整生命年 （Quality-AdjustedLifeYear,QALY） 被广泛应用于卫生经济学和药物经济学研究的各个方面，是衡量健康产出的重要指标。近年来，其内涵也随着QALY相关研究的深入而不断迭代发展。目前，还未有中文研究对近年来QALY内涵变化的最新进展进行系统性梳理。基于过往文献和研究实践，梳理QALY内涵的变化，并将其归纳为QA LY定义扩展和赋权QALY的进展和影响。QALY定义扩展主要包括主流量表对健康相关QALY定义的再丰富和对幸福感的补充，对幸福感 QALY来源进行回溯，分析 QALY定义扩展与传统 QALY对比的优势；在赋权 QALY上，总结赋权 QALY的定义、测量方法和优势。同时，讨论了QALY内涵变化对于效用积分体系构建的影响。建议未来应重视QALY内涵的变化和发展，积极探索具有中国特色的QALY内涵，运用实证研究分析QALY内涵变化带给卫生决策一致性和合理性的影响。 |
| 关键词: 质量调整生命年 QALY定义扩展 QALY赋权 卫生决策 |
| DOI： |
| 投稿时间：2023-09-03 |
| 基金项目: |
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| Review on the Indication on Extending the QALY and Its Influenceon Health State Valuation |
| Wang Haode,Luo Yashuang,Gu Yichun,Sun Hui,Xu Xinjie,Wang Haiyin |
| (School of Health and Related Research, University of Sheffield, Sheffield, S38PH, UK) |
| Abstract: |
| Quality-Adjusted Life Year (QALY) is widely used in various aspects of health economics and pharmacoeconomics research, and is an important indicator to measure health output. In recent years, its meaning has been iteratively developed with the deepening of QALY-related research. At present, there is no Chinese research that has systematically sorted out the latest progress in the changes in the meaning of QALY in recent years. It aims to fill this research gap. Based on the previous literature and research practice, the research sorts out the changes in the meaning of QALY, and summarizes them as definition extension and empowerment of QALY. The expansion of the meaning of QALY mainly includes the re-enrichment of the definition of health-related QALY and the inclusion of wellbeing. It retraced the sources of the QALY for well-being and compared the strengths of the extending the QALY versus traditional QALY. The definition, measurement methods and advantages of extended QALY are summarized. At the same time, it also discusses the influence of QALY meaning changes on the construction of the utility score system. It is suggested to pay attention to the changes and development of QALY meaning in the future, actively explore the QALY meaning with Chinese characteristics, and use empirical research to analyze the impact of QALY meaning changes on the consistency and rationality of health decision-making. |
| Key words: QALY extending the QALY weighted QALY healthcare decision making |
