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Distributional Cost-Effectiveness Analysis Tutorial (MDM) revised (06-02-2015) clean
483 KB, Word document
Journal | Medical Decision Making |
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Date | Accepted/In press - 11 Mar 2015 |
Date | E-pub ahead of print - 23 Apr 2015 |
Date | Published (current) - 1 Jan 2016 |
Issue number | 1 |
Volume | 36 |
Number of pages | 12 |
Pages (from-to) | 8-19 |
Early online date | 23/04/15 |
Original language | English |
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.
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