Comparing smoking cessation to screening and brief intervention for alcohol in distributional cost effectiveness analysis to explore the sensitivity of results to socioeconomic inequalities characterised in model inputs.

Research output: Working paperDiscussion paper



Publication details

DatePublished - Sep 2021
PublisherCentre for Health Economics, University of York
Place of PublicationYork, UK
Number of pages82
Original languageEnglish

Publication series

NameCHE Research Paper
PublisherCentre for Health Economics, University of York


A distribution of intervention impact across socioeconomic groups can be estimated from
socioeconomic differences across a staircase from need (e.g. prevalence) up to intervention
characteristics (e.g. effectiveness) using distributional cost effectiveness analysis (DCEA). The extent
to which evidence on inequality at different steps of the staircase contributes to uncertainty in
population level impact is not well understood. We used DCEAs in smoking cessation and alcohol
interventions to explore how socioeconomic inequality in model inputs impacts upon final
conclusions about health inequality and value for money.


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