Abstract
Distributional cost-effectiveness analysis (DCEA) provides information about the equity impacts of health technologies and programs and the trade-offs that sometimes arise between equity and efficiency. This field has now come of age with a growing applied literature,1 new training resources,2 and a formal professional network: a special interest group on equity-informative economic evaluation within the International Health Economics Association.3
Highlights
Distributional cost-effectiveness analysis (DCEA) provides information about the equity impacts of health technologies and programs and the trade-offs that sometimes arise between equity and efficiency
This field has come of age with a growing applied literature,[1] new training resources,[2] and a formal professional network: a special interest group on equity-informative economic evaluation within the International Health Economics Association.[3]
A systematic review published in this issue of Value in Health[1] found 54 peer-reviewed studies published to date, mostly after 2015, relating to diverse disease categories, intervention types, and populations and using various equity criteria, with socioeconomic status and race/ethnicity being the most frequent
Summary
Distributional cost-effectiveness analysis (DCEA) provides information about the equity impacts of health technologies and programs and the trade-offs that sometimes arise between equity and efficiency. This field has come of age with a growing applied literature,[1] new training resources,[2] and a formal professional network: a special interest group on equity-informative economic evaluation within the International Health Economics Association.[3]. It may indicate a tendency to focus on the favorable distribution of benefits rather than the unfavorable distribution of burdens owing to opportunity costs Both issues require attention, because decision makers need to know when equity impacts are unfavorable and they need a full picture of equity impacts including who bears the largest burdens of opportunity cost as well as who gains the largest benefits
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