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Health mobility: implications for efficiency and equity in priority setting

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  • Katharina Hauck

    ()

  • Aki Tsuchiya

Abstract

Adverse Health mobility is a statistical measure of inter-temporal fluctuations in health of a group of individuals. Increased availability of panel data has led to a number of studies which analyse and compare health mobility across subgroups. Mobility can differ systematically across patient subgroups, even if prevalence measured at one point in time is the same. There is a lack of discussion regarding whether health mobility is a relevant concept for resource allocation decisions. In this think piece, we explore whether and how health mobility is incorporated in cost-effectiveness analysis (CEA). CEA takes health mobility into account where it matters in terms of efficiency and -depending on treatment programs- either favours groups with low mobility or gives equal priority to groups of differing levels of mobility. However, CEA fails to take into account the equity dimension of mobility. There is qualitative research to suggest that some members of the public find that patient groups with low health mobility should be given priority even if some efficiency was sacrificed. Results also indicate that this may depend on the nature of the condition, the actual lengths involved and the magnitude of the efficiency sacrifice. Health mobility may also have political implications which affect resource allocation decisions, possibly in opposing directions. Further research is required to investigate the extent to which the public is concerned with health mobility, to determine conditions for which health mobility matters most, and to explore ways of how the equity dimension of health mobility can be incorporated into CEA.

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Bibliographic Info

Paper provided by Monash University, Department of Econometrics and Business Statistics in its series Monash Econometrics and Business Statistics Working Papers with number 6/10.

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Length: 14 pages
Date of creation: Feb 2010
Date of revision:
Handle: RePEc:msh:ebswps:2010-6

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Keywords: Health mobility; health dynamics; panel data; resource allocation; cost effectiveness analysis; equity;

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References

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  1. Paul Contoyannis & Andrew M. Jones & Nigel Rice, 2004. "The dynamics of health in the British Household Panel Survey," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 19(4), pages 473-503.
  2. Marta Pascual & David Cantarero, 2009. "Intergenerational health mobility: an empirical approach based on the ECHP," Applied Economics, Taylor & Francis Journals, vol. 41(4), pages 451-458.
  3. Di Tella, Rafael & Alesina, Alberto & MacCulloch, Robert, 2004. "Inequality and Happiness: Are Europeans and Americans Different?," Scholarly Articles 4553007, Harvard University Department of Economics.
  4. Andrew M. Jones & Ángel López, 2003. "Measurement and explanation of socioeconomic inequality in health with longitudinal data," Working Papers, Research Center on Health and Economics 711, Department of Economics and Business, Universitat Pompeu Fabra.
  5. Neil J. Buckley & Frank T. Denton & A. Leslie Robb & Byron G. Spencer, 2003. "The Transition from Good to Poor Health: An Econometric Study of the Older Population," Quantitative Studies in Economics and Population Research Reports 381, McMaster University.
  6. Cristina Hernández Quevedo & Andrew M Jones & Ángel López Nicolás & Nigel Rice, 2005. "Socioeconomic inequalities in health: a comparative longitudinal analysis using the European Community Household Panel," Health, Econometrics and Data Group (HEDG) Working Papers 05/12, HEDG, c/o Department of Economics, University of York.
  7. Christian Salas, 2002. "On the empirical association between poor health and low socioeconomic status at old age," Health Economics, John Wiley & Sons, Ltd., vol. 11(3), pages 207-220.
  8. Paul Contoyannis & Andrew M. Jones & Nigel Rice, 2002. "Simulation-based Inference in Dynamic Panel Probit Models: an Application to Health," Department of Economics Working Papers 2002-12, McMaster University.
  9. Katharina Hauck & Aki Tsuchiya, 2010. "Health mobility: implications for efficiency and equity in priority setting," Monash Econometrics and Business Statistics Working Papers 6/10, Monash University, Department of Econometrics and Business Statistics.
  10. Marcel Kerkhofs & Maarten Lindeboom, 1997. "Age related health dynamics and changes in labour market status," Health Economics, John Wiley & Sons, Ltd., vol. 6(4), pages 407-423.
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Cited by:
  1. Katharina Hauck & Aki Tsuchiya, 2010. "Health mobility: implications for efficiency and equity in priority setting," Monash Econometrics and Business Statistics Working Papers 6/10, Monash University, Department of Econometrics and Business Statistics.

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