Future challenges

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

Future challenges

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

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Abstract

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 language	English
Title of host publication	Distributional Cost-Effectiveness Analysis
Subtitle of host publication	Quantifying Health Equity Impacts and Trade-offs
Editors	Richard Cookson, Susan Griffin, Ole F. Norheim, Anthony J. Culyer
Place of Publication	Oxford
Publisher	Oxford University Press
Chapter	16
ISBN (Print)	9780198838197
Publication status	Published - 30 Sept 2020

Keywords

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

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AU - Cookson, Richard

AU - Morton, Alec

AU - Schokkaert, Erik

AU - Gomez, Gabriela B.

AU - Merritt, Maria W.

AU - Norheim, Ole

AU - Griffin, Susan

AU - Culyer, Anthony J.

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N2 - 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.

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KW - economic evaluation

KW - decision making challenges

KW - distributional cost-effectiveness analysis

KW - fair shares

KW - value maximizing

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BT - Distributional Cost-Effectiveness Analysis

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A2 - Griffin, Susan

A2 - Norheim, Ole F.

A2 - Culyer, Anthony J.

PB - Oxford University Press

CY - Oxford

ER -

Future challenges

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