The Devils in the DALY: Prevailing Evaluative Assumptions

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Autor(es): dc.contributorUniv Bergen-
Autor(es): dc.contributorUniversidade Estadual Paulista (Unesp)-
Autor(es): dc.contributorVestre Viken Hosp Trust-
Autor(es): dc.contributorHarvard Univ-
Autor(es): dc.contributorAkershus Univ Hosp HF-
Autor(es): dc.creatorSolberg, Carl Tollef-
Autor(es): dc.creatorSorheim, Preben-
Autor(es): dc.creatorMuller, Karl Erik [UNESP]-
Autor(es): dc.creatorGamlund, Espen-
Autor(es): dc.creatorNorheim, Ole Frithjof-
Autor(es): dc.creatorBarra, Mathias-
Data de aceite: dc.date.accessioned2022-02-22T00:55:25Z-
Data de disponibilização: dc.date.available2022-02-22T00:55:25Z-
Data de envio: dc.date.issued2021-06-25-
Data de envio: dc.date.issued2021-06-25-
Data de envio: dc.date.issued2020-10-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1093/phe/phaa030-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/209111-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/209111-
Descrição: dc.descriptionIn recent years, it has become commonplace among the Global Burden of Disease (GBD) study authors to regard the disability-adjusted life year (DALY) primarily as a descriptive health metric. During the first phase of the GBD (1990-1996), it was widely acknowledged that the DALY had built-in evaluative assumptions. However, from the publication of the 2010 GBD and onwards, two central evaluative practices-time discounting and age-weighting-have been omitted from the DALY model. After this substantial revision, the emerging view now appears to be that the DALY is primarily a descriptive measure. Our aim in this article is to argue that the DALY, despite changes, remains largely evaluative. Our analysis focuses on the understanding of the DALY by comparing the DALY as a measure of disease burden in the two most significant phases of GBD publications, from their beginning (1990-1996) to the most recent releases (2010-2017). We identify numerous assumptions underlying the DALY and group them as descriptive or evaluative. We conclude that while the DALY model arguably has become more descriptive, it remains, by necessity, largely evaluative.-
Descrição: dc.descriptionUniv Bergen, Fac Med, Bergen Ctr Eth & Prior Setting BCEPS, Dept Global Publ Hlth & Primary Care, Bergen, Norway-
Descrição: dc.descriptionUniv Bergen, Fac Humanities, Dept Philosophy, Bergen, Norway-
Descrição: dc.descriptionUniv Bergen, Fac Med, Dept Clin Sci, Gade Res Grp Infect & Immun, Bergen, Norway-
Descrição: dc.descriptionSao Paulo State Univ, Inst Biosci, Sao Paulo, Brazil-
Descrição: dc.descriptionVestre Viken Hosp Trust, Drammen Hosp, Dept Internal Med, Drammen, Norway-
Descrição: dc.descriptionHarvard Univ, Harvard TH Chan Sch Publ Hlth, Cambridge, MA 02138 USA-
Descrição: dc.descriptionAkershus Univ Hosp HF, Hlth Serv Res Unit HOKH, Nordbyhagen, Norway-
Descrição: dc.descriptionSao Paulo State Univ, Inst Biosci, Sao Paulo, Brazil-
Formato: dc.format259-274-
Idioma: dc.languageen-
Publicador: dc.publisherOxford Univ Press-
Relação: dc.relationPublic Health Ethics-
???dc.source???: dc.sourceWeb of Science-
Título: dc.titleThe Devils in the DALY: Prevailing Evaluative Assumptions-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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