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Distributional Cost-Effectiveness Analysis : Quantifying Health Equity Impacts and Trade-Offs - Richard Cookson
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Distributional Cost-Effectiveness Analysis

Quantifying Health Equity Impacts and Trade-Offs

By: Richard Cookson (Editor), Susan Griffin (Editor), Ole F. Norheim (Editor), Anthony J. Culyer (Editor)

Paperback | 14 October 2020

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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.
Industry Reviews
The authors are to be congratulated ... this is a good book in conception and execution * Sean Campbell Sinclair, Ethical Theory and Moral Practice *
The definitive guide to equity methods in health economic evaluation - a landmark in the field. * Michael Drummond, Professor of Health Economics, University of York, UK *
A thorough and accessible overview; the introductory chapters should be part of any graduate-level course on health economic evaluation. * Milton Weinstein, Research Professor of Health Policy and Management, Harvard University, USA *
Essential reading for analysts in countries aiming at Universal Health Coverage - a major contribution to making equity count in priority-setting. * Tessa-Tan-Torres Edejer, Coordinator, Economic Analysis and Evaluation, World Health Organization, Switzerland *

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