Maximizing health benefits vs egalitarianism : an Australian survey of health issues.
Economists have often treated the objective of health services as being the maximization of the QALYs gained, irrespective of how the gains are distributed.
In a cross section of Australians such a policy of distributive neutrality received :
(a) very little support when health benefits to young people compete with health benefits to the elderly ;
(b) only moderate support when those who can become a little better compete with those who can become much better ;
(c) only moderate support when smokers compete with non smokers ;
(d) some support when young children compete with newborns ;
and (e) wide spread support when parents of dependent children compete with people without children.
Overall, the views of the study population were strongly egalitarian.
A policy of health benefit maximization received very limited support when the consequence is a loss of equity and access to services for the elderly and for people with a limited potential for improving their health.
Mots-clés Pascal : Economie santé, Indicateur, Priorité, Homme, Australie, Qualité vie, Quality Adjusted Life Years, Océanie
Mots-clés Pascal anglais : Health economy, Indicator, Priority, Human, Australia, Quality of life, Oceania
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0002469
Code Inist : 002B30A01A1. Création : 01/03/1996.