Qualité de la vie et affectation des ressources

Revue de Métaphysique et de Morale 92 (3):307 - 328 (1987)
Abstract
Il a été récemment proposé de recourir, pour la répartition des ressources médicales, à la notion de quality adjusted life year (QALY). Selon cette perspective, une année de vie en bonne santé équivaut à un QALY, tandis qu'une année avec incapacité ou gêne comptera pour moins, la valeur précise dépendant de la gravité de l'affection. Les partisans de cette méthode préconisent de répartir les dépenses de santé de manière à gagner le plus grand nombre de QALY. La présente étude analyse les mérites et les inconvénients de la méthode proposée. Elle montre finalement qu'avoir pour unique critère le gain en QALY escomptés est à la fois contestable d'un point de vue utilitariste, et injuste. A recent proposal for allocating medical resources appeals to the concept o f a quality adjusted life year (QALY). The idea is that a year of healthy life counts for one QALY, and a year of life involving disability or discomfort counts for less than one, how much less depending on its seriousness. Advocates of this approach argue that health care expenditure should be so distributed as to maximise the total number of QALYs gained. The merits and demerits of this proposal are examined in this article. We conclude that the approach should not be rejected altogether, but that taking the expected gain in QALYs per unit cost as one's sole criterion would both be objectionable in utilitarian terms and be unjust.
Keywords No keywords specified (fix it)
Categories (categorize this paper)
Options
 Save to my reading list
Follow the author(s)
My bibliography
Export citation
Find it on Scholar
Edit this record
Mark as duplicate
Revision history Request removal from index Translate to english
 
Download options
PhilPapers Archive


Upload a copy of this paper     Check publisher's policy on self-archival     Papers currently archived: 11,808
External links
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library
References found in this work BETA

No references found.

Citations of this work BETA

No citations found.

Similar books and articles
Marco Jean (2007). Le relativisme comme base inadequate pour penser les relations interculturelles. The Proceedings of the Twenty-First World Congress of Philosophy 7:9-14.
Analytics

Monthly downloads

Added to index

2011-05-29

Total downloads

9 ( #163,302 of 1,099,788 )

Recent downloads (6 months)

3 ( #126,844 of 1,099,788 )

How can I increase my downloads?

My notes
Sign in to use this feature


Discussion
Start a new thread
Order:
There  are no threads in this forum
Nothing in this forum yet.