Normative Foundations for Equity-sensitive Population Health Evaluation Functions

Juan D. Moreno-Ternero, Lars Peter Østerdal

Research output: Working paperResearch


Standard models for the evaluation of population health, such as the so-called models of aggregate Quality Adjusted Life Years (QALYs), or aggregate Healthy Years Equivalent (HYEs), are usually criticized on equity grounds. We provide in this paper normative justifications for alternative equity-sensitive models, such as the so-called models of multiplicative QALYs, multiplicative HYEs, and generalizations of the two. Our axiomatic approach assumes social preferences over distributions of individual health states experienced in a given period of time. It conveys informational simplicity, as it does not require information about individual preferences on health.
Original languageEnglish
Place of PublicationOdense
PublisherSyddansk Universitet
Number of pages19
Publication statusPublished - 2014
Externally publishedYes
SeriesCOHERE Discussion Papers


  • Population health
  • Equity
  • HYEs
  • QALYs
  • Axioms

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