연령에 따른 우선순위 설정은 사회적 선호를 반영하나?

Age Weighting: Does It Reflect Societal Preferences?

Cost-effectiveness is basically based on the principle of health maximization. A decision based on cost per QALY has an ethical implication that 1 QALY incurred by everyone is of equal value. However, many literatures found that the public preferences depend on who the beneficiaries are, and therefore the social values of a QALY are not equal to everyone. This study focuses on the age among the factors that determine the social value of a QALY. It examines the philosophical and theoretical debate that considers age as a criterion of priority setting, including the concept of “fair inning” and outlines the direction of social preference found in empirical studies. In addition, this paper will briefly examine how the prioritization formula proposed in other countries relates to age, and seek policy implications.