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QALYs in psychiatric care?

Published online by Cambridge University Press:  02 January 2018

Greg Wilkinson
Affiliation:
Academic Subdepartment of Psychological Medicine, University of Wales College of Medicine, North Wales Hospital, Denbigh, Clwyd
Caroline Croft-Jeffreys
Affiliation:
General Practice Research Unit, Institute of Psychiatry, London
H. Krekorian
Affiliation:
Psychiatry Bristol General Hospital
S. McLees
Affiliation:
Buckingham Mental Health Service, Buckingham
Ian Falloon
Affiliation:
Buckingham Mental Health Service, Buckingham
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In the form of economic evaluation known as cost-utility analysis, the consequences of health programmes are measured in time units adjusted by health utility weights (i.e., states of health valued relative to one another in terms of notional quality). The outcome of health programmes can then be expressed in terms of increased (or decreased) life expectancy and increased (or decreased) quality-of-life. This provides a device for evaluating health programmes that extend life at the expense of undesirable effects, or, that produce reduced morbidity rather than reduced mortality.

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Articles
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 1990

References

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Rosser, R. M. & Kind, P. (1978) A scale of valuation of states of illness: is there a social consensus? International Journal of Epidemiology, 7, 347357.Google Scholar
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