Distributional Cost-Effectiveness Analysis: A Tutorial
Distributional Cost-Effectiveness Analysis: A Tutorial
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DOI：
10.1177/0272989x15583266
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发表时间：
2016-01-01
影响因子：
3.6
通讯作者：
Cookson, Richard
中科院分区：
文献类型：
--
作者：
Asaria, Miqdad;Griffin, Susan;Cookson, Richard
分布成本效益分析是一个框架，将健康不平等问题纳入卫生部门干预措施的经济评价。在本教程中，我们描述了如何进行DCEA的技术细节，使用一个说明性的例子比较实施国家卫生服务（NHS）肠癌筛查计划（BCSP）的替代方法。DCEA的两个关键阶段是：1）与不同干预措施相关的健康社会分布建模，2）评估健康社会分布的双重目标，即改善总人口健康和减少不公平的健康不平等。除了描述所使用的技术方法外，我们还确定了必须做出的数据要求和社会价值判断。最后，我们展示了敏感性分析的使用，探索替代建模假设和社会价值判断的影响。
Distributional cost-effectiveness analysis (DCEA) is a framework for incorporating health inequality concerns into the economic evaluation of health sector interventions. In this tutorial, we describe the technical details of how to conduct DCEA, using an illustrative example comparing alternative ways of implementing the National Health Service (NHS) Bowel Cancer Screening Programme (BCSP). The 2 key stages in DCEA are 1) modeling social distributions of health associated with different interventions, and 2) evaluating social distributions of health with respect to the dual objectives of improving total population health and reducing unfair health inequality. As well as describing the technical methods used, we also identify the data requirements and the social value judgments that have to be made. Finally, we demonstrate the use of sensitivity analyses to explore the impacts of alternative modeling assumptions and social value judgments.