ArticleSocial science & medicine (1982)2018
Quantifying life: Understanding the history of Quality-Adjusted Life-Years (QALYs).
Article in Social science & medicine (1982), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed.
- Value of willingness to pay for a QALY gained in Iran; a modified chained-approach.BMC health services research · 2021Trial
- Modifying the quality-adjusted life year calculation to account for meaningful change in health-related quality of life: insights from a pragmatic clinical trial.The European journal of health economics : HEPAC : health economics in prevention and care · 2021Trial
- Public deliberation on health gain measures.Health affairs scholar · 2024Article
- Cost-Utility of Real-Time Continuous Glucose Monitoring versus Self-Monitoring of Blood Glucose in People with Insulin-Treated Type 2 Diabetes in Spain.ClinicoEconomics and outcomes research : CEOR · 2024Article
- Eliciting a value set for the Swedish Capability-Adjusted Life Years instrument (CALY-SWE).Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024Article
- Resource allocation in public sector programmes: does the value of a life differ between governmental departments?Cost effectiveness and resource allocation : C/E · 2023Article
- Assessing the cost-effectiveness of waiting list reduction strategies for a breast radiology department: a real-life case study.BMC health services research · 2023Article
- Prices and Clinical Benefit of National Price-Negotiated Anticancer Medicines in China.PharmacoEconomics · 2022Article
- The QALY is ableist: on the unethical implications of health states worse than dead.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022Article
- Behavioral Theories That Have Influenced the Way Health State Preferences Are Elicited and Interpreted: A Bibliometric Mapping Analysis of the Time Trade-Off Method With VOSviewer Visualization.Frontiers in health services · 2022Review
- Article
- Allocating Public Spending Efficiently: Is There a Need for a Better Mechanism to Inform Decisions in the UK and Elsewhere?Applied health economics and health policy · 2021Article
- Challenges in developing capability measures for children and young people for use in the economic evaluation of health and care interventions.Health economics · 2021Article
- The political economics of cancer drug discovery and pricing.Drug discovery today · 2020Review
- Article
- Problematic cost-utility analysis of interventions for behavior problems in children and adolescents.New directions for child and adolescent development · 2020Review
- Quality of Life and Value Assessment in Health Care.Health care analysis : HCA : journal of health philosophy and policy · 2020Article
- Hybrid Methodology to Improve Health Status Utility Values Derivation Using EQ-5D-5L and Advanced Multi-Criteria Techniques.International journal of environmental research and public health · 2020Article
- Historicising "containment and delay": COVID-19, the NHS and high-risk patients.Wellcome open research · 2020Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
Quality-Adjusted Life-Years (QALYs) are central to healthcare decision-making in Britain and abroad, yet their history is poorly understood. In this paper, we argue that a more in-depth and political history of the QALY is needed to allow a critical evaluation of its current dominance. Exploiting rich data from archives and 44 semi-structured interviews conducted between 2015 and 2018, we employ Multiple Streams Analysis to construct a complex and dynamic picture of how the idea of QALYs emerged and was adopted within UK health policy. Through its historical and political approach, the paper illuminates the relative roles in the policy-making process of experts (especially economists) and politicians as 'entrepreneurs' in the development of new ideas; how these were influenced by negotiation within established and emerging institutional structures; and the role of serendipity and crisis.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.