The apparent discrepancy between social inequality in disability-free and quality-adjusted life expectancy
Disability-free and healthy life expectancy yield larger estimated magnitudes of health inequality than quality-adjusted life expectancy. This is due to their binary scaling, which implicitly assigns a HRQOL value of zero (as bad as death) to disability or non-good health. A simple adjustment to narrow both ends of the binary scale renders the two approaches more comparable.
Authors
- Ieva Skarda (ORCID: https://orcid.org/0000-0002-0866-2936)
- Richard Cookson
- James Lomas
Institutions
- University of York (GB)
Publication Details
- Journal
- Value in Health
- Published
- 2026-02-01
- DOI
- https://doi.org/10.1016/j.jval.2026.01.026
- Primary Topic
- Health Systems, Economic Evaluations, Quality of Life
- Type
- article
- Field-Weighted Citation Impact
- 0.00