Health Evaluation (Continued)
¨ Cost Utility Analysis
¨ HRQOL instruments (EQ-5D, HUI, AQOL, SF-36)
¨ QALYs
¨ Application: Drug Utilisation
EFN423 Health Economics 3
Cost Utility analysis (CUA)
A form of cost effectiveness analysis
¨ Preferred when multiple objectives of a program
¨ Comparison across different health outcomes or
disease possible, by measuring them all in terms
of a single unit – QALY
¨ Considered current gold standard measure
¨ Limitation: QALY is subjective (must be valid,
reliable and relevant to the population in question)
EFN423 Health Economics 4
Quality Adjusted Life Years
A measure of outcome which incorporates both gains
in length of life (mortality) and health-related quality
of life – HRQOL (morbidity).
HRQOL: “The value assigned to duration of life as
modified by impairments, functional status,
perceptions and social opportunities that are
influe
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