We explore in this paper the implications of ethical and operational 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 rationale for popular theories in health economics (such as the unweighted aggregation of QALYs or HYEs, and generalizations of the two, aimed to capture concerns for distributive justice) without resorting to controversial assumptions over individual preferences.
University of CopenhagenInstitute of Food and Resource Economics
University of Southern DenmarkDepartment of Business and Economics
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Hougaard, J. L., moreno ternero, j., & Osterdal, L. P. (2012). A new axiomatic approach to the evaluation of population health (CORE Discussion Paper 2012/7). https://hdl.handle.net/2078.5/208721