Impact of illness and death: comparison of Load and QALY models

Background When allocating resources health decision-makers make trade-offs between different outcomes, such as morbidity and mortality. The Load and QALY (quality-adjusted life year) models are two approaches that have been developed to help value health and care outcomes.Methods I briefly describe...

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Main Author: Tim Benson
Format: Article
Language:English
Published: BMJ Publishing Group 2025-03-01
Series:BMJ Open Quality
Online Access:https://bmjopenquality.bmj.com/content/14/1/e003190.full
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author Tim Benson
author_facet Tim Benson
author_sort Tim Benson
collection DOAJ
description Background When allocating resources health decision-makers make trade-offs between different outcomes, such as morbidity and mortality. The Load and QALY (quality-adjusted life year) models are two approaches that have been developed to help value health and care outcomes.Methods I briefly describe preference judgements, the Load and QALY models.Results The same preference judgement, based on the standard gamble, is applied to a single hypothetical individual’s lifetime, who dies at age 75 after 3 years of illness. In this example, the morbidity/mortality ratio using the Load model is 50 times higher than using the QALY model.Conclusions These findings, placing greater value on illness, call for further exploration, and in particular, whether the Load model can reshape healthcare policies and resource allocation.
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institution Kabale University
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spelling doaj-art-e5b2813dae5d4f8386cd7daacdb97a082025-08-20T03:40:21ZengBMJ Publishing GroupBMJ Open Quality2399-66412025-03-0114110.1136/bmjoq-2024-003190Impact of illness and death: comparison of Load and QALY modelsTim Benson01 R-Outcomes Ltd, Newbury, UKBackground When allocating resources health decision-makers make trade-offs between different outcomes, such as morbidity and mortality. The Load and QALY (quality-adjusted life year) models are two approaches that have been developed to help value health and care outcomes.Methods I briefly describe preference judgements, the Load and QALY models.Results The same preference judgement, based on the standard gamble, is applied to a single hypothetical individual’s lifetime, who dies at age 75 after 3 years of illness. In this example, the morbidity/mortality ratio using the Load model is 50 times higher than using the QALY model.Conclusions These findings, placing greater value on illness, call for further exploration, and in particular, whether the Load model can reshape healthcare policies and resource allocation.https://bmjopenquality.bmj.com/content/14/1/e003190.full
spellingShingle Tim Benson
Impact of illness and death: comparison of Load and QALY models
BMJ Open Quality
title Impact of illness and death: comparison of Load and QALY models
title_full Impact of illness and death: comparison of Load and QALY models
title_fullStr Impact of illness and death: comparison of Load and QALY models
title_full_unstemmed Impact of illness and death: comparison of Load and QALY models
title_short Impact of illness and death: comparison of Load and QALY models
title_sort impact of illness and death comparison of load and qaly models
url https://bmjopenquality.bmj.com/content/14/1/e003190.full
work_keys_str_mv AT timbenson impactofillnessanddeathcomparisonofloadandqalymodels