Inclusion of equity in economic analyses of public health policies: systematic review and future directions
Abstract Objectives: To assess current approaches to inclusion of equity in economic analysis of public health interventions and to recommend best approaches and future directions. Methods: We conducted a systematic review of studies that have used socioeconomic position (SEP) in cost‐effectiveness...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2018-04-01
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| Series: | Australian and New Zealand Journal of Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/1753-6405.12709 |
| _version_ | 1797709942053928960 |
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| author | Anita Lal Marjory Moodie Anna Peeters Rob Carter |
| author_facet | Anita Lal Marjory Moodie Anna Peeters Rob Carter |
| author_sort | Anita Lal |
| collection | DOAJ |
| description | Abstract Objectives: To assess current approaches to inclusion of equity in economic analysis of public health interventions and to recommend best approaches and future directions. Methods: We conducted a systematic review of studies that have used socioeconomic position (SEP) in cost‐effectiveness analyses. Studies were identified using MedLine, EconLit and HEED and were evaluated based on their SEP specific inputs and methods of quantification of the health and financial inequalities. Results: Twenty‐nine relevant studies were identified. The majority of studies comparing two or more interventions left interpretation of the size of the health and financial inequality differences to the reader. Newer approaches include: i) use of health inequality measures to quantify health inequalities; ii) inclusion of financial impacts, such as out‐of‐pocket expenditures; and iii) use of equity weights. The challenge with these approaches is presenting results that policy makers can easily interpret. Conclusions: Using CEA techniques to generate new information about the health equity implications of alternative policy options has not been widely used, but should be considered to inform future decision making. Implications for public health: Inclusion of equity in economic analysis would facilitate a more nuanced comparison of interventions in relation to efficiency, equity and financial impact. |
| first_indexed | 2024-03-12T06:45:07Z |
| format | Article |
| id | doaj.art-54f0a3a91310463e834f7430ef60d0de |
| institution | Directory Open Access Journal |
| issn | 1326-0200 1753-6405 |
| language | English |
| last_indexed | 2024-03-12T06:45:07Z |
| publishDate | 2018-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Australian and New Zealand Journal of Public Health |
| spelling | doaj.art-54f0a3a91310463e834f7430ef60d0de2023-09-03T00:37:35ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052018-04-0142220721310.1111/1753-6405.12709Inclusion of equity in economic analyses of public health policies: systematic review and future directionsAnita Lal0Marjory Moodie1Anna Peeters2Rob Carter3Deakin Health Economics, Centre for Population Health Research Deakin University VictoriaDeakin Health Economics, Centre for Population Health Research Deakin University VictoriaGlobal Obesity Centre (GLOBE), Centre for Population Health Research Deakin University VictoriaDeakin Health Economics, Centre for Population Health Research Deakin University VictoriaAbstract Objectives: To assess current approaches to inclusion of equity in economic analysis of public health interventions and to recommend best approaches and future directions. Methods: We conducted a systematic review of studies that have used socioeconomic position (SEP) in cost‐effectiveness analyses. Studies were identified using MedLine, EconLit and HEED and were evaluated based on their SEP specific inputs and methods of quantification of the health and financial inequalities. Results: Twenty‐nine relevant studies were identified. The majority of studies comparing two or more interventions left interpretation of the size of the health and financial inequality differences to the reader. Newer approaches include: i) use of health inequality measures to quantify health inequalities; ii) inclusion of financial impacts, such as out‐of‐pocket expenditures; and iii) use of equity weights. The challenge with these approaches is presenting results that policy makers can easily interpret. Conclusions: Using CEA techniques to generate new information about the health equity implications of alternative policy options has not been widely used, but should be considered to inform future decision making. Implications for public health: Inclusion of equity in economic analysis would facilitate a more nuanced comparison of interventions in relation to efficiency, equity and financial impact.https://doi.org/10.1111/1753-6405.12709economic evaluationequityhealth inequalities |
| spellingShingle | Anita Lal Marjory Moodie Anna Peeters Rob Carter Inclusion of equity in economic analyses of public health policies: systematic review and future directions Australian and New Zealand Journal of Public Health economic evaluation equity health inequalities |
| title | Inclusion of equity in economic analyses of public health policies: systematic review and future directions |
| title_full | Inclusion of equity in economic analyses of public health policies: systematic review and future directions |
| title_fullStr | Inclusion of equity in economic analyses of public health policies: systematic review and future directions |
| title_full_unstemmed | Inclusion of equity in economic analyses of public health policies: systematic review and future directions |
| title_short | Inclusion of equity in economic analyses of public health policies: systematic review and future directions |
| title_sort | inclusion of equity in economic analyses of public health policies systematic review and future directions |
| topic | economic evaluation equity health inequalities |
| url | https://doi.org/10.1111/1753-6405.12709 |
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