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A QALY is [still] a QALY is [still] a QALY?

  • Hamideh Mahdiani,
  • Nikolai Münch,
  • Norbert W. Paul

摘要

Despite clinical evidence of drug superiority, therapeutic modalities, like combination immunotherapy, are mostly considered cost-ineffective due to their high costs per life year(s) gained. This paper, taking an ethical stand, reevaluates the standard cost-effectiveness analysis with that of the more recent justice-enhanced methods and concludes by pointing out the shortcomings of the current methodologies.