18 April 2018
The main reason for setting dead at zero is that in multiplicative models, there should be a health state for which one is indifferent to the duration of that health state. Only dead is a candidate to be this health state.
Effects on decision making
The position of dead needs to be carefully established, as it determines the relative importance of life-improving and life-saving treatments in the allocation of resources in health care.
Publication
Setting Dead at Zero: Applying Scale Properties to the QALY Model
Bram Roudijk, A. Rogier T. Donders, Peep F.M. Stalmeier
This research was conducted within the theme Healthcare improvement science.
Dead should be assigned the value 0 in economic models combining survival and quality of life, such as the Quality Adjusted Life Years (QALY) model. This is a result found by researchers Bram Roudijk, Rogier Donders and Peep Stalmeier of the Department for Health Evidence and was published in Medical Decision Making on April 9th , 2018.
The considerations for setting dead at zeroThe main reason for setting dead at zero is that in multiplicative models, there should be a health state for which one is indifferent to the duration of that health state. Only dead is a candidate to be this health state.
Effects on decision making
The position of dead needs to be carefully established, as it determines the relative importance of life-improving and life-saving treatments in the allocation of resources in health care.
Publication
Setting Dead at Zero: Applying Scale Properties to the QALY Model
Bram Roudijk, A. Rogier T. Donders, Peep F.M. Stalmeier
This research was conducted within the theme Healthcare improvement science.
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