Assessing Inequalities In Health & Quality Of Life

Published Apr 17, 2013
Wirral, UK - How should we monitor health disparities across districts? Traditionally, governments measure economic outputs such as gross domestic product (GDP) and health outcomes such as life expectancy. Life expectancy only tells part of the picture; when we adjust life expectancy for health status, the gaps between rich and poor often become even wider. In the study, “Using a Survey to Estimate Health Expectancy and Quality-Adjusted Life Expectancy to Assess Inequalities in Health and Quality of Life,” published in Value in Health, author Brendan Collins, of the University of Liverpool and Wirral Public health, combined health-related quality of life data from a population questionnaire with life expectancy data to estimate quality adjusted life expectancy across a population. This study showed that the gap between rich and poor was much greater when quality of life was included as well as life expectancy. The study revealed a 12.7 year gap in quality adjusted life expectancy between rich and poor in Wirral, an area in the North West of England. The potential value of this gap in quality adjusted life years (QALYs) can be valued in economic terms based on society’s willingness to pay for health interventions. Fiona Johnstone, Wirral’s Director of Policy, Performance & Public Health said, “Combining life expectancy data with quality of life data in this way enables us to understand more about the needs of our population and how individuals in our most deprived areas do not just have shorter life expectancy, but are more likely to experience poor health at every age.”

Value in Health (ISSN 1098-3015) publishes papers, concepts, and ideas that advance the field of pharmacoeconomics and outcomes research as well as policy papers to help health care leaders make evidence-based decisions. The journal is published bi-monthly and has over 8,000 subscribers (clinicians, decision makers, and researchers worldwide).

International Society for Pharmacoeconomics and Outcomes Research (ISPOR) is a nonprofit, international, educational and scientific organization that strives to increase the efficiency, effectiveness, and fairness of health care resource use to improve health.

For more information: www.ispor.org

Related Stories

Rethinking Medication Adherence: A Stakeholder Blueprint

May 12, 2025

Value in Health, the official journal of ISPOR—The Professional Society for Health Economics and Outcomes Research, announced today the publication of a report from its Medication Adherence and Persistence Special Interest Group that provides valuable insights into the perspectives of key stakeholders on interventions to improve medication adherence. The report, “Stakeholders’ Perspectives on Medication Adherence Enhancing Interventions: An ISPOR Report,” was published in the May 2025 issue of Value in Health.

New Research Reveals Surprising Trends in Women's Health Economics Authorship

May 12, 2025

Value in Health, the official journal of ISPOR announced the publication of new research analyzing women's representation in authorship of papers submitted to and published in Value in Health. The report, “How Well Are Women Represented in Authorship in HEOR? An Analysis of Value in Health: An ISPOR Report,” was published in the May 2025 issue of Value in Health.

Redefining Value in Care for Alzheimer's Disease and Dementia

Apr 8, 2025

Value in Health, the official journal of ISPOR—The Professional Society for Health Economics and Outcomes Research, announced the publication of a special themed section of research papers that provide crucial insights into the complex health economics of Alzheimer's disease and related dementias (ADRD), offering a roadmap for future research and policy as the aging population grows and novel treatments emerge.
Your browser is out-of-date

ISPOR recommends that you update your browser for more security, speed and the best experience on ispor.org. Update my browser now

×