希少医療資源である移植用臓器の配分問題に関する研究―QALYの効用と限界を中心として―

Limitations of the Quality Adjusted Life Years (QALY) Method for Allocation of Organs for Transplantation

公開日:2014.10.03

発行日
2012年03月31日
概要
This study addresses some of the shortcomings of Quality Adjusted Life Years (QALY), the method used to determine organ allocation for transplants in the USA. A psychological quantitative approach reveals that the young generation (age X-Y) prefers their donations to go to young recipients even if the prospective life expectancy is shorter than that of older patients. The younger generation also prioritizes the immediate treatment of critically ill patients with potentially expensive procedures (like heart transplants) over longer-term, possibly more economical preventive care that would cut down on disease in the general population. As a result, the numerical values provided by QALY only appear to be a scientifically quantitative reflection of public values. In reality, they conflict with the actual desires of an important segment of the donor pool. Additional work is necessary to make organ allocation methods more closely reflect the wishes of the donors.
キーワード

Organ Transplant

QALY (Quality Adjusted Life Years)

Medical Resource

Life Expectancy and Age

Fairness of Organ Sharing

Utility and Limitation

文献等

掲載誌名・書名:

CJPSCS/JJPC(総合政策研究), Vol.20, pp.11-23

公開者・出版社:

中央大学総合政策学部

書誌コード類:

ISSN: 1341-7827

種類
紀要
言語
日本語
権利情報
この資料の著作権は、資料の著作者または学校法人中央大学に帰属します。著作権法が定める私的利用・引用を超える使用を希望される場合には、掲載誌発行部局へお問い合わせください。

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