Kristian S. Hansen (), Juan D. Moreno-Ternero () and Lars Peter Østerdal ()
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Kristian S. Hansen: National Research Centre for the Working Environment (NFA), Copenhagen, Denmark
Juan D. Moreno-Ternero: Department of Economics, Universidad Pablo de Olavide
Lars Peter Østerdal: Department of Economics, Copenhagen Business School, Postal: Copenhagen Business School, Department of Economics, Porcelaenshaven 16 A. 1. floor, DK-2000 Frederiksberg, Denmark
Abstract: This paper develops a unified framework for evaluating health outcomes that jointly incorporates equity and productivity. Extending beyond traditional QALYs, PALYs, and the more recent PQALYs, we introduce a class of evaluation functions that integrate fairness- and productivity-sensitive principles. By imposing normative principles, includ-ing independence from measurement scales and Pigou-Dalton transfer properties, we ob-tain tractable power-form representations. In balancing distributive justice and efficiency, the framework provides a coherent foundation for assessing health interventions in con-texts where both equity and productive capacity are at stake.
Keywords: Health; Productivity; Equity; Distribution; QALYs; PALYs; PQALYs
Language: English
36 pages, October 7, 2025
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