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Fairer Decisions, Better Health for All: Health Equity and Cost-Effectiveness Analysis

In: Global Health Economics Shaping Health Policy in Low- and Middle-Income Countries

Author

Listed:
  • Andrew J. Mirelman
  • Miqdad Asaria
  • Bryony Dawkins
  • Susan Griffin
  • Richard Cookson
  • Peter Berman

Abstract

This chapter provides an introduction to methods for using cost-effectiveness analysis (CEA) to address health equity concerns, with applications to different country settings. These methods can provide information about the impacts of health investment decisions on inequalities in health and non-health outcomes, and they provide information about the trade-offs that sometimes arise between improving total health and reducing health inequalities. We distinguish two general ways of using CEA to address health equity concerns: (1) equity impact analysis, which quantifies the distribution of costs and effects by equity-relevant variables and (2) equity trade-off analysis, which quantifies the trade-offs between improving total health and other equity objectives. We hope this chapter will raise awareness of the practical tools of CEA that are now available to help give health care and public health policymakers a better understanding of who gains and who loses when making decisions.

Suggested Citation

  • Andrew J. Mirelman & Miqdad Asaria & Bryony Dawkins & Susan Griffin & Richard Cookson & Peter Berman, 2020. "Fairer Decisions, Better Health for All: Health Equity and Cost-Effectiveness Analysis," World Scientific Book Chapters, in: Paul Revill & Marc Suhrcke & Rodrigo Moreno-Serra & Mark Sculpher (ed.), Global Health Economics Shaping Health Policy in Low- and Middle-Income Countries, chapter 4, pages 99-132, World Scientific Publishing Co. Pte. Ltd..
    • Handle: RePEc:wsi:wschap:9789813272378_0004
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    2. Helen Weatherly & Rita Faria & Bernard Van den Berg & Mark Sculpher & Peter O’Neill & Kay Nolan & Julie Glanville & Jaana Isojarvi & Erin Baragula & Mary Edwards, 2017. "Scoping review on social care economic evaluation methods," Working Papers 150cherp, Centre for Health Economics, University of York.
    3. Werner Brouwer & Pieter van Baal & Job van Exel & Matthijs Versteegh, 2019. "When is it too expensive? Cost-effectiveness thresholds and health care decision-making," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(2), pages 175-180, March.
    4. Hill, Sarah R. & Vale, Luke & Hunter, David & Henderson, Emily & Oluboyede, Yemi, 2017. "Economic evaluations of alcohol prevention interventions: Is the evidence sufficient? A review of methodological challenges," Health Policy, Elsevier, vol. 121(12), pages 1249-1262.

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    Keywords

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    JEL classification:

    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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