This video has really helped me.i am so grateful, it's helped with my assignment, been struggling to understand the lecture notes but this video has brought clarity.
To those of you saying this video made it seem simple....it's because it is. However the ethics behind the calculations and how pressure can be put on the formula is what needs to be looked at. if Political decisions alter resources are we to change the formula in order to dispose of "expensive" to treat patients. Also what if we pack the decision making process on "Quality of life" which in itself is a highly subjective term.
The value of a QALY is based on a questionare survey asking people how many years of "healthy life" are equivalent to X years of disabled life, until death. This data gives you the QALY score per each disability. Good luck with your thesis BTW.
The National Institute for Health and Care Excellence (NICE) usually regards a health intervention as 'cost-effective' if the cost per QALY is around £20,000 to £30,000. Note that this refers to a year lived in full health, not just the extension of life by one year. Interestingly, many new interventions are still accepted if they are above this cost threshold, particularly when considering end-of-life-care.