A New Axiomatic Approach to the Evaluation of Population Health

Jens Leth Hougaard, Juan D. Moreno-Ternero, Lars Peter Østerdal

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In this paper we explore the implications of normative principles for the evaluation of population health. We formalize those principles as axioms for social preferences over distributions of health for a given population. We single out several focal population health evaluation functions, which represent social preferences, as a result of combinations of those axioms. Our results provide new rationale for popular theories in health economics, such as the unweighted aggregation of quality-adjusted life years (QALYs) or healthy years equivalents (HYEs) and generalizations of the two, aimed to capture concerns for distributive justice, without resorting to controversial assumptions on individual preferences.
TidsskriftJournal of Health Economics
Udgave nummer3
Sider (fra-til)515–523
StatusUdgivet - 2013
Udgivet eksterntJa


  • Population health
  • Social preferences
  • QALYs
  • HYEs
  • Axioms