Comparable worth of life for all? Conducting and disseminating health economic evaluations for refugees in Germany
Abstract Comparative health economic evaluation is based on premise of being able to compare the worth of a year of life lived in full quality across different patients, population groups, settings and interventions. Given the rising numbers of forcibly displaced people, the nexus of economics, migr...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-05-01
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| Series: | Globalization and Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12992-022-00845-1 |
| _version_ | 1817988171155111936 |
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| author | Louise Biddle Katharina Wahedi Kayvan Bozorgmehr |
| author_facet | Louise Biddle Katharina Wahedi Kayvan Bozorgmehr |
| author_sort | Louise Biddle |
| collection | DOAJ |
| description | Abstract Comparative health economic evaluation is based on premise of being able to compare the worth of a year of life lived in full quality across different patients, population groups, settings and interventions. Given the rising numbers of forcibly displaced people, the nexus of economics, migration and health has emerged as a central theme in recent conceptual and empirical approaches. However, some of the assumptions made in conventional economic approaches do not hold true in the decision-making context of migration and the health of forcibly displaced populations. Using the experience of conducting and disseminating economic analyses to support decision-making on health screening policies for refugees in Germany, we show that in particular the assumptions of individual utility with no positive externalities, equity-blind utilitarian ethical stances and stable budgets are challenged. The further development of methods to address these challenges are required to support decision-makers in this contentious and politically fraught context and continue to make choices and decisions transparent. |
| first_indexed | 2024-04-14T00:31:00Z |
| format | Article |
| id | doaj.art-65656b450dcd4f32b143aed55e38122e |
| institution | Directory Open Access Journal |
| issn | 1744-8603 |
| language | English |
| last_indexed | 2024-04-14T00:31:00Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Globalization and Health |
| spelling | doaj.art-65656b450dcd4f32b143aed55e38122e2022-12-22T02:22:32ZengBMCGlobalization and Health1744-86032022-05-011811510.1186/s12992-022-00845-1Comparable worth of life for all? Conducting and disseminating health economic evaluations for refugees in GermanyLouise Biddle0Katharina Wahedi1Kayvan Bozorgmehr2Section for Health Equity Studies and Migration, Department of General Practice and Health Services Research, University Hospital HeidelbergSection for Health Equity Studies and Migration, Department of General Practice and Health Services Research, University Hospital HeidelbergSection for Health Equity Studies and Migration, Department of General Practice and Health Services Research, University Hospital HeidelbergAbstract Comparative health economic evaluation is based on premise of being able to compare the worth of a year of life lived in full quality across different patients, population groups, settings and interventions. Given the rising numbers of forcibly displaced people, the nexus of economics, migration and health has emerged as a central theme in recent conceptual and empirical approaches. However, some of the assumptions made in conventional economic approaches do not hold true in the decision-making context of migration and the health of forcibly displaced populations. Using the experience of conducting and disseminating economic analyses to support decision-making on health screening policies for refugees in Germany, we show that in particular the assumptions of individual utility with no positive externalities, equity-blind utilitarian ethical stances and stable budgets are challenged. The further development of methods to address these challenges are required to support decision-makers in this contentious and politically fraught context and continue to make choices and decisions transparent.https://doi.org/10.1186/s12992-022-00845-1Economic evaluationEvidence disseminationRefugeesHealth policyScreening policiesEquity |
| spellingShingle | Louise Biddle Katharina Wahedi Kayvan Bozorgmehr Comparable worth of life for all? Conducting and disseminating health economic evaluations for refugees in Germany Globalization and Health Economic evaluation Evidence dissemination Refugees Health policy Screening policies Equity |
| title | Comparable worth of life for all? Conducting and disseminating health economic evaluations for refugees in Germany |
| title_full | Comparable worth of life for all? Conducting and disseminating health economic evaluations for refugees in Germany |
| title_fullStr | Comparable worth of life for all? Conducting and disseminating health economic evaluations for refugees in Germany |
| title_full_unstemmed | Comparable worth of life for all? Conducting and disseminating health economic evaluations for refugees in Germany |
| title_short | Comparable worth of life for all? Conducting and disseminating health economic evaluations for refugees in Germany |
| title_sort | comparable worth of life for all conducting and disseminating health economic evaluations for refugees in germany |
| topic | Economic evaluation Evidence dissemination Refugees Health policy Screening policies Equity |
| url | https://doi.org/10.1186/s12992-022-00845-1 |
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