The DALY, context and the determinants of the severity of disease: an exploratory comparison of paraplegia in Australia and Cameroon.

摘要: This paper summarises the findings of an empirical investigation some technical and social assumptions on which disability adjusted life year (DALY) is based. The objectives study were to examine notion that burden disease broadly similar without regard country, environment, gender or socio-economic status develop detailed descriptions experiences as they related these contextual factors. was a multi-factorial exploratory employing qualitative quantitative techniques obtain data effects country (development), environment (urban versus rural), people with paraplegia. provided extensive compilation context rich living Striking features differences between countries respect impact health conditions functioning highlight in paraplegia like clinical severity can be fatal one not another. While there has been focus control determinants disease, little work disease. underlying DALY, ignore assessment risk exacerbating inequalities by undervaluing less-developed countries. There need continue subject development indicators rigorous debate determine balance assumption global "average milieu" treatment each individual belonging their own population order for meaningful cross-culturally.