Quality adjusted life years based on health and consumption: A summary wellbeing measure for cross‐sectoral economic evaluation
提出一种跨部门公共政策经济评估的总体福祉指标，基于健康相关生活质量和消费数据，计算不同政策情景下人群的预期良好生命年数，支持成本效果分析和分配分析。
We introduce a summary wellbeing measure for economic evaluation of cross-sectoral public policies with impacts on health and living standards. We show how to calculate period-specific and lifetime wellbeing using quality-adjusted life years based on widely available data on health-related quality of life and consumption and normative assumptions about three parameters-minimal consumption, standard consumption, and the elasticity of the marginal value of consumption. We also illustrate how these three parameters can be tailored to the decision-making context and varied in sensitivity analysis to provide information about the implications of alternative value judgments. As well as providing a general measure for cost-effectiveness analysis and cost-benefit analysis in terms of wellbeing, this approach also facilitates distributional analysis in terms of how many good years different population subgroups can expect to live under different policy scenarios.