Future challenges

Richard Cookson, Alec Morton, Erik Schokkaert, Gabriela B. Gomez, Maria W. Merritt, Ole Norheim, Susan Griffin, Anthony J. Culyer

Research output: Chapter in Book/Report/Conference proceedingChapter

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In this chapter we discuss some of the challenges facing the field of distributional cost-effectiveness analysis (DCEA). We cover four methodological challenges for researchers: (i) modelling complexities such as economies of scale, spillovers and behavioural responses, (ii) ex post DCEA based on distributions of realised outcomes rather than expected outcomes, (iii) cross-sectoral DCEA combining information about health and non-health dimensions of well-being, and (iv) fair shares DCEA based on distributing in proportion to strength of claim rather than maximising value. We also discuss the practical challenge of making DCEA more useful to decision makers.
Original languageEnglish
Title of host publicationDistributional Cost-Effectiveness Analysis
Subtitle of host publicationQuantifying Health Equity Impacts and Trade-offs
EditorsRichard Cookson, Susan Griffin, Ole F. Norheim, Anthony J. Culyer
Place of PublicationOxford
PublisherOxford University Press
ISBN (Print)9780198838197
Publication statusPublished - 30 Sept 2020


  • , cross-sectoral programmes
  • economic evaluation
  • decision making challenges
  • distributional cost-effectiveness analysis
  • fair shares
  • value maximizing


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