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Research progress of equity-informative health economic evaluation

Published on Aug. 30, 2024Total Views: 274 times Total Downloads: 129 times Download Mobile

Author: FANG Nan 1, 2 HE Xiaoning 1, 2 WU Jing 1, 2

Affiliation: 1. School of Pharmaceutical Science and Technology, Faculty of Medicine, Tianjin University, Tianjin 300072, China 2. Center for Social Science Survey and Data, Tianjin University, Tianjin 300072, China

Keywords: Economic evaluation Equity Equity-based weighting Distributional cost-effectiveness Extended cost-effectiveness analysis

DOI: 10.12173/j.issn.1005-0698.202406026

Reference: FANG Nan, HE Xiaoning, WU Jing.Research progress of equity-informative health economic evaluation[J].Yaowu Liuxingbingxue Zazhi,2024, 33(8):929-937.DOI: 10.12173/j.issn.1005-0698.202406026.[Article in Chinese]

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Abstract

Traditional health economic evaluation mainly focuses on efficiency and lacks quantitative consideration of equity. To further quantify different equity factors based on traditional economic evaluation, equity-informative economic evaluations have been gradually developed. This paper reviews and summarizes 5 methods to incorporate equity into economic evaluations, among which the 3 widely used including equity-based weighting (EBW), distributional cost-effectiveness analysis (DCEA), and extended cost-effectiveness analysis (ECEA) are introduced in detail regarding basic concept, data requirements, advantages and disadvantages. The equity-informative economic evaluations will provide an effective tool for decision-makers to trade off between the efficiency maximization and distributional equity in the allocation of health resources formally and transparently, and will have a good prospect in China. However, the lack of relevant basic data is one of the main challenges limiting the practical application of such methods. It is also a research barrier that future researchers in related fields need to break through.

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References

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