Evaluation of Intervention Impact on Health Inequality for Resource Allocation

Medical Decision Making : an International Journal of the Society for Medical Decision Making
Susan GriffinLesley Owen

Abstract

We describe a simplified distributional cost-effectiveness analysis based on aggregate data to estimate the health inequality impact of public health interventions. We extracted data on costs, health outcomes expressed as quality-adjusted life years (QALYs), and target populations for interventions within National Institute for Health and Care Excellence (NICE) public health guidance published up to October 2016. Evidence on variation by age, gender, and index of multiple deprivation informed socioeconomic distributions of incremental QALYs, health opportunity costs, and the baseline distribution of health. Total population QALYs, summary measures of inequality, and a health equity impact plane show results by intervention and by guideline. A value for inequality aversion from a general population survey in England let us combine impacts on health inequality and total health into a single measure of intervention value. Our estimates suggest that of 134 interventions considered by NICE, 70 (52%) reduce inequality and increase health, 21 (16%) involve a tradeoff between improving health and improving health inequality, and 43 (32%) reduce health and increase health inequality. Fully implemented, the potential impact of all recomm...Continue Reading

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Apr 25, 2015·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Miqdad AsariaRichard Cookson
Aug 25, 2015·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·James Love-KohSusan Griffin
Aug 4, 2016·PloS One·Andrew McAuleyGerry McCartney
Sep 22, 2016·Health Economics·Matthew RobsonShehzad Ali
Oct 5, 2017·Journal of Public Health·Lesley OwenKim Jeong
Jul 24, 2018·Health Economics·Richard CooksonMiqdad Asaria

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Citations

Jan 13, 2021·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Richard CooksonKalipso Chalkidou
Mar 3, 2020·The Lancet. Public Health·Elizabeth RichardsonMark Robinson

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