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Journal Article
Measuring health and disability
2007
Overview
Before the advent of DALYs (and the earlier but related idea of quality-adjusted life years [QALYs]), health-outcome measures typically relied on mortality (an exception was the method of disability-free life expectancy and its complement, the number of years lived with a disability).1 In view of the wide range of effects that various health conditions can engender, the approach of using only mortality was judged inadequate. According to the World Bank's 1993 global burden of disease study,2 DALYs have three major objectives: \"to facilitate the inclusion of nonfatal health outcomes in debates on international health policy, to decouple epidemiological assessment from advocacy so that estimates of the mortality or disability from a condition are developed as objectively as possible, and to quantify the burden of disease using a measure that could be used for cost-effectiveness analysis\". Prevention of disabilities is an important goal, but there are two key types: (1) prevention of medical conditions that lead to body function or structure limitations; and (2) prevention of the social and environmental conditions that stop people with those types of limitations from being able to participate in social and economic activities.
Publisher
Elsevier Ltd,Elsevier Limited
Subject
