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• W2580366914 abstract "This articles serves as a guide to using cost-effectiveness analysis (CEA) to address health concerns. We first introduce the equity impact plane, a tool for considering trade-offs between improving total health-the objective underpinning conventional CEA-and objectives, such as reducing social inequality in health or prioritizing the severely ill. Improving total health may clash with reducing social inequality in health, for example, when effective delivery of services to disadvantaged communities requires additional costs. Who gains and who loses from a cost-increasing health program depends on differences among people in terms of health risks, uptake, quality, adherence, capacity to benefit, and-crucially-who bears the opportunity costs of diverting scarce resources from other uses. We describe two main ways of using CEA to address health concerns: 1) impact analysis, which quantifies the distribution of costs and effects by equity-relevant variables, such as socioeconomic status, location, ethnicity, sex, and severity of illness; and 2) trade-off analysis, which quantifies trade-offs between improving total health and other objectives. One way to analyze trade-offs is to count the cost of fairer but less cost-effective options in terms of health forgone. Another method is to explore how much concern for is required to choose fairer but less cost-effective options using weights or parameters. We hope this article will help the health technology assessment community navigate the practical options now available for conducting equity-informative CEA that gives policymakers a better understanding of impacts and trade-offs." @default.
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• W2580366914 date "2017-02-01" @default.
• W2580366914 modified "2023-09-30" @default.
• W2580366914 title "Using Cost-Effectiveness Analysis to Address Health Equity Concerns" @default.
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• W2580366914 doi "https://doi.org/10.1016/j.jval.2016.11.027" @default.
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