Asaria, Miqdad orcid.org/0000-0002-3538-4417, Griffin, Susan orcid.org/0000-0003-2188-8400 and Cookson, Richard Andrew orcid.org/0000-0003-0052-996X (2013) Distributional cost-effectiveness analysis: a tutorial. Discussion Paper. CHE Research Paper . Centre for Health Economics, University of York , York, UK.
Abstract
Distributional cost-effectiveness analysis (DCEA) is a framework for incorporating health inequality concerns into the economic evaluation of health sector interventions. In this tutorial we describe the technical details of how to conduct DCEA, using an illustrative example comparing alternative ways of implementing the NHS Bowel Cancer Screening Programme (BCSP). The two key stages in DCEA are (A) modelling social distributions of health associated with different interventions and (B) evaluating social distributions of health with respect to the dual objectives of improving total population health and reducing unfair health inequality. As well as describing the technical methods used, we also identify the data requirements and the social value judgements that have to be made. Finally, we demonstrate the use of sensitivity analyses to explore the impacts of alternative modelling assumptions and social value judgements.
Metadata
Item Type: | Monograph |
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Authors/Creators: |
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Keywords: | Cost-effectiveness analysis,economic evaluation,efficiency,equality,equity,fairness,health distribution,health inequality,inequality measures,opportunity cost,social value judgements,social welfare functions,trade-off |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) > CHE Research Papers (York) |
Depositing User: | Pure (York) |
Date Deposited: | 26 Sep 2018 12:20 |
Last Modified: | 07 Mar 2025 00:03 |
Status: | Published |
Publisher: | Centre for Health Economics, University of York |
Series Name: | CHE Research Paper |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:136239 |
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