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Distributional cost-effectiveness analysis: a tutorial

Miqdad Asaria (), Susan Griffin and Richard Cookson
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Susan Griffin: Centre for Health Economics, University of York, UK
Richard Cookson: Centre for Health Economics, University of York, UK

No 092cherp, Working Papers from Centre for Health Economics, University of York

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.

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 (search for similar items in EconPapers)
Pages: 24 pages
Date: 2013-11
New Economics Papers: this item is included in nep-hea
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Downloads: (external link) ... nal_CEA_tutorial.pdf First version, 2013 (application/pdf)

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Working Paper: Distributional cost-effectiveness analysis: a tutorial (2016) Downloads
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