AGE-WEIGHTING

2008 ◽  
Vol 24 (2) ◽  
pp. 167-189 ◽  
Author(s):  
Greg Bognar

Some empirical findings seem to show that people value health benefits differently depending on the age of the beneficiary. Health economists and philosophers have offered justifications for these preferences on grounds of both efficiency and equity. In this paper, I examine the most prominent examples of both sorts of justification: the defence of age-weighting in the WHO's global burden of disease studies and the fair innings argument. I argue that neither sort of justification has been worked out in satisfactory form: age should not be taken into account in the framework of the burden of disease measure, and on the most promising formulations of the fair innings argument, it turns out to be merely an indicator of some other factor. I conclude by describing the role of age in theories of justice of healthcare resource allocation.

Author(s):  
Carol Brayne

This chapter lays out a brief summary of the ways in which we bring our contemporary and past knowledge of disorders together in a way that can integrate impact for society. The value of diagnosis can be viewed from different perspectives and sectors of any particular society. There have been many changes to the definitions of many, if not most, disorders and diseases affecting human populations due to changing biologies and new methods of investigation. This includes change in diagnostic approaches and definitions, the approaches currently used in Global Burden of Disease and Health Life Expectancies as well as public health approaches to bringing together evidence about primary, secondary, and tertiary prevention.


PLoS ONE ◽  
2014 ◽  
Vol 9 (2) ◽  
pp. e89693 ◽  
Author(s):  
John Rose ◽  
David C. Chang ◽  
Thomas G. Weiser ◽  
Nicholas J. Kassebaum ◽  
Stephen W. Bickler

Author(s):  
Elselijn Kingma

What is the role of values in health measurements, such as the disability-adjusted life years (DALYs) employed in the Global Burden of Disease Study? And what should that role be? These questions can be illuminated by considering what the role of values is in the concepts of health and disease themselves. This chapter argues in favor of a limited role of values in our accounts of health and disease both on conceptual and pragmatic grounds. The author then argues that the role of values in the DALY health measurement system employed by the Global Burden of Disease Study is generally aligned with the general role for values in accounts of health and disease that the author advocates—and therefore correct.


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