Expanding use of multi-criteria decision analysis for health technology assessment

American Journal of Managed Care

11 December 2019 - As America’s health care system continues to evolve, it is critical that our perception of care and its value to patients evolve with it. In the past, value assessments have marginalised patients’ perspectives in favour of other, more easily quantifiable variables. 

Unfortunately, this approach to value assessment hasn’t been able to capture individual health states or preferences because it fails to engage with the most important stakeholders: the individuals receiving the care.

Take, for example, the quality-adjusted life-year, also known as the QALY. Explained at the most basic level, the QALY is a measurement of how an intervention improves a patient’s quality and quantity of life. The QALY aims to encapsulate the value of healthcare interventions in a single index number, where 1 equates to 1  year of perfect health and 0 is associated with death.

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Michael Wonder

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Michael Wonder