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Opportunity analysis of newborn screening programs

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  • HERRERO, Carmen
  • MORENO-TERNERO, Juan D.

Abstract

There exist congenital diseases that reduce newborns' potential opportunities. This reduction is sometimes alleviated if the congenital disease is early detected thanks to a newborn screening program. We propose an outcome measurement of newborn screening programs based on the opportunity gains they offer. We show that, under plausible assumptions, the ranking of the available screening programs for a particular disease, according to this new outcome measurement, do not depend on the metric of opportunity. We also apply our model to the current debate about choosing between a selective or a universal newborn hearing screening program to detect congenital hearing impairment.

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Bibliographic Info

Paper provided by Université catholique de Louvain, Center for Operations Research and Econometrics (CORE) in its series CORE Discussion Papers with number 2007029.

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Date of creation: 01 May 2007
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Handle: RePEc:cor:louvco:2007029

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Keywords: opportunities; potential success; screening programs;

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References

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  1. van Doorslaer, Eddy & Wagstaff, Adam & van der Burg, Hattem & Christiansen, Terkel & De Graeve, Diana & Duchesne, Inge & Gerdtham, Ulf-G & Gerfin, Michael & Geurts, Jose & Gross, Lorna, 2000. "Equity in the delivery of health care in Europe and the US," Journal of Health Economics, Elsevier, vol. 19(5), pages 553-583, September.
  2. John Roemer, 2003. "Equity in health care delivery and finance," Working Papers 9911, University of California, Davis, Department of Economics.
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  6. HERRERO, Carmen & MORENO-TERNERO, Juan D., . "A new outcome measure for cost-utility analyses of screening programs," CORE Discussion Papers RP -1938, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
  7. Johannesson, Magnus & Weinstein, Milton C., 1993. "On the decision rules of cost-effectiveness analysis," Journal of Health Economics, Elsevier, vol. 12(4), pages 459-467, December.
  8. Sen, Amartya, 1991. "Welfare, preference and freedom," Journal of Econometrics, Elsevier, vol. 50(1-2), pages 15-29, October.
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  10. Carmen Herrero & Juan D. Moreno-Ternero, 2005. "Hospital costs and social cost: A case study of newborn hearing screening," Investigaciones Economicas, Fundación SEPI, vol. 29(1), pages 203-216, January.
  11. Byrne, Margaret M. & Thompson, Peter, 2001. "Screening and preventable illness," Journal of Health Economics, Elsevier, vol. 20(6), pages 1077-1088, November.
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  14. Birch, Stephen & Gafni, Amiram, 1992. "Cost effectiveness/utility analyses : Do current decision rules lead us to where we want to be?," Journal of Health Economics, Elsevier, vol. 11(3), pages 279-296, October.
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  16. Peragine, Vitorocco, 1999. " The Distribution and Redistribution of Opportunity," Journal of Economic Surveys, Wiley Blackwell, vol. 13(1), pages 37-69, February.
  17. Bleichrodt, Han & Diecidue, Enrico & Quiggin, John, 2004. "Equity weights in the allocation of health care: the rank-dependent QALY model," Journal of Health Economics, Elsevier, vol. 23(1), pages 157-171, January.
  18. Herrero Carmen & Pinto Prades José Luis, 2008. "Capabilities and opportunities in health," Working Papers 201069, Fundacion BBVA / BBVA Foundation.
  19. Garber, Alan M., 2000. "Advances in cost-effectiveness analysis of health interventions," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 4, pages 181-221 Elsevier.
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