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dc.contributor.authorSolberg, Carl Tollef
dc.contributor.authorSørheim, Preben
dc.contributor.authorMuller, Karl Erik
dc.contributor.authorGamlund, Espen
dc.contributor.authorNorheim, Ole Frithjof
dc.contributor.authorBarra, Mathias
dc.date.accessioned2021-05-04T05:56:09Z
dc.date.available2021-05-04T05:56:09Z
dc.date.created2020-08-03T08:36:38Z
dc.date.issued2020
dc.PublishedPublic Health Ethics. 2020, 1-16.
dc.identifier.issn1754-9973
dc.identifier.urihttps://hdl.handle.net/11250/2753359
dc.description.abstractIn 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.en_US
dc.language.isoengen_US
dc.publisherOxford University Pressen_US
dc.relation.urihttps://academic.oup.com/phe/advance-article/doi/10.1093/phe/phaa030/5942737?searchresult=1
dc.rightsNavngivelse-Ikkekommersiell 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/deed.no*
dc.titleThe Devils in the DALY: Prevailing Evaluative Assumptionsen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright The Author(s) 2020en_US
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.fulltextoriginal
cristin.fulltextoriginal
cristin.qualitycode1
dc.identifier.doi10.1093/phe/phaa030
dc.identifier.cristin1821234
dc.source.journalPublic Health Ethicsen_US
dc.source.pagenumber259-274en_US
dc.identifier.citationPublic Health Ethics. 2020, 13 (3), 259-274.en_US
dc.source.volume13en_US
dc.source.issue3en_US


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Navngivelse-Ikkekommersiell 4.0 Internasjonal
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