• Both QALYs and DALYs are also usually discounted, meaning more weight can be given to immediate over distant outcomes, and both measures can account for disease severity. The two measures however are not interchangeable.1 For example, DALYs incorporate an age-weighting function, which assigns lower weights to the years of the young and elderly, and the origins of disability and quality of lif...

BACKGROUND The increased use of medical therapies has led to increased medical costs. To provide insight into the value of this increased spending, we compared gains in life expectancy with the increased costs of care from 1960 through 2000. METHODS We estimated life expectancy in 1960, 1970, 1980, 1990, and 2000 for four age groups. To control for the influence of nonmedical factors on survi...

AIMS This study assessed the cost efficacy and cost utility of the automatic blood glucose meter CONTOUR(®) TS from the public payer (National Health Fund [NHF]) and payer (patient and NHF) perspectives over a 26-year analysis horizon. METHODS Clinical effectiveness data were obtained from prior clinical studies of automatic versus manually coded blood glucose meters. Cost data were obtained ...

OBJECTIVES In 2013, the Swiss Medical Board (SMB) concluded that for three breast cancer screens over 13 years in Switzerland, cost-effectiveness was negative, with no additional benefits in quality-adjusted life-years gained. We compared these suggested predicted effects with other estimates. METHODS We used an extensively validated model on the natural history of breast cancer in Switzerlan...

background: â maintenance of health and its fair and just promotion in any society is the responsibility and duty of its respective government. appropriate financial allocations and prudent decisions in the health sector requires the definition of an index that would reveal the loss resulting from early deaths of any cause and originate from disabilities due to nonfatal outcomes. the disability...