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© 1988 Oxford University Press

research-article

QALYS AND LONG-TERM CARE FOR ELDERLY PEOPLE IN THE UK: SCALES FOR ASSESSMENT OF QUALITY OF LIFE

CAM DONALDSON, Lecturer In Health Economics, ANN ATKINSON, Research Associate, JOHN BOND, Lecturer In Sociology and KEN WRIGHT, Senior Fellow

Health Care Research Unit, University of Newcastle upon Tyne 21 Claremont Place, Newcastle upon Tyne NE2 4AA
Centre for Health Economics, University of York

QALYs have developed in the UK as a tool for comparing the outcome of health care procedures in a single index over time. This tool can then be used, along with information on costs of procedures, in decision-making about health service resource allocation. It is shown that the attributes of disability and distress, on which QALYs are presently based in the UK, are insensitive to changes in the health status of elderly people in long-term care when compared to other measures of quality of life which are frequently used in studies of older people. Thus, if the use of QALYs increases, they should be based on attributes appropriate to the groups studied, otherwise certain groups may be discriminated against in health service resource allocation owing to the use of an insensitive measure of outcome.

accepted in revised form January 9, 1988.


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