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Distributional cost-effectiveness analysis: a tutorial

Asaria, Miqdad, Griffin, Susan and Cookson, Richard (2016) Distributional cost-effectiveness analysis: a tutorial. Medical Decision Making, 36 (1). pp. 8-19. ISSN 0272-989X

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Identification Number: 10.1177/0272989X15583266

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 National Health Service (NHS) Bowel Cancer Screening Programme (BCSP). The 2 key stages in DCEA are 1) modeling social distributions of health associated with different interventions, and 2) 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 judgments that have to be made. Finally, we demonstrate the use of sensitivity analyses to explore the impacts of alternative modeling assumptions and social value judgments.

Item Type: Article
Additional Information: © 2015 The Authors
Divisions: LSE Health
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management
Date Deposited: 31 Jul 2019 12:36
Last Modified: 20 Nov 2019 12:37
URI: http://eprints.lse.ac.uk/id/eprint/101271

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