The disability-adjusted life year (DALY) has emerged in the international health policy lexicon as a new measure of the 'burden of disease.' The authors argue that the conceptual and technical basis for DALYs is flawed and its assumptions and value judgements are open to serious question. In particular, the implications of age-weighting and discounting are found to be unacceptable. Moreover, the proponents of DALYs do not distinguish between the exercises of measuring the burden of disease an...Expand abstract
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Disability-Adjusted Life Years: A Critical Review.
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