Full Description
Distributional cost-effectiveness analysis aims to help health care and public health organisations make fairer decisions with better outcomes. Whereas standard cost-effectiveness analysis provides information about total costs and effects, distributional cost-effectiveness analysis provides additional information about fairness in the distribution of costs and effects - who gains, who loses, and by how much. It can also provide information about the trade-offs that sometimes occur between efficiency objectives, such as improving total health, and equity objectives, such as reducing unfair inequality in health.
This is a practical guide to a flexible suite of economic methods for quantifying the equity consequences of health programmes in high-, middle- and low-income countries. The methods can be tailored and combined in various ways to provide useful information to different decision-makers in different countries with different distributional equity concerns. The handbook is primarily aimed at postgraduate students and analysts specialising in cost-effectiveness analysis but is also accessible to a broader audience of health sector academics, practitioners, managers, policymakers and stakeholders.
As well as offering an overview for research commissioners, users, and producers, the book includes systematic technical guidance on how to simulate and evaluate distributions, with accompanying hands-on spreadsheet training exercises, and discussions about how to handle uncertainty about facts and disagreement about values, and the future challenges facing this young and rapidly evolving field of study.
Contents
Part One: Preliminaries
1: Richard Cookson, Susan Griffin, Ole F. Norheim, Anthony J. Culyer: Introduction
2: Richard Cookson, Anthony Culyer, Ole F. Norheim: Principles of health equity
3: Richard Cookson, Susan Griffin, Ole F. Norheim, Anthony J. Culyer: Designing a distributional cost-effectiveness analysis
4: Richard Cookson, Susan Griffin, Ole F. Norheim, Anthony J. Culyer: Describing equity impacts and trade-offs
5: Richard Cookson, James Love-Koh, Colin Angus, James Lomas: Introduction to the training exercises
Part Two: Simulating Distributions
6: Kjell Arne Johansson, Matthew M. Coates, Jan-Magnus Økland, Aki Tsuchiya, Gene Bukhman, Ole F. Norheim, Øystein Haaland: Health by disease categories
7: James Love-Koh and Andrew Mirelman: Health by social variables
8: Colin Angus: Costs and health effects
9: James Love-Koh: Health opportunity costs
10: Andrew Mirelman and Richard Cookson: Financial protection
Part Three: Evaluating Distributions
11: Owen O'Donnell and Tom Van Ourti: Dominance analysis
12: Owen O'Donnell and Tom Van Ourti: Rank-dependent equity weights
13: Ole F. Norheim, Miqdad Asaria, Kjell Arne Johansson, Trygve Ottersen and Aki Tsuchiya: Level-dependent equity weights
14: Mike Paulden, James O'Mahony and Jeff Round: Direct equity weights
Part Four: Next Steps
15: Susan Griffin: Uncertainty about facts and heterogeneity of values
16: Richard Cookson, Alec Morton, Erik Schokkaert, Gabriela B. Gomez, Maria Merritt, Ole F. Norheim, Susan Griffin, and Anthony J. Culyer: Future challenges
