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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

Can cost-effectiveness analysis integrate concerns for equity? Systematic review.

Mira Johri¹, Ole Frithjof Norheim

¹Departement of Health Administration, University of Montreal, Montreal, Canada. mira.johri@umontreal.ca

International Journal of Technology Assessment in Health Care

|April 13, 2012

Summary

This summary is machine-generated.

This study reviewed methods for incorporating equity into cost-effectiveness analysis (CEA) for health technology assessment (HTA). Existing techniques can address fairness, but conceptual clarity and normative guidance are needed for wider adoption.

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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

Area of Science:

Health Economics
Health Technology Assessment
Equity in Healthcare

Background:

Health technology assessment (HTA) increasingly requires consideration of equity.
Cost-effectiveness analysis (CEA) is a primary tool in HTA, but integrating equity concerns remains a challenge.

Purpose of the Study:

To systematically review methods for incorporating equity into cost-effectiveness analysis (CEA).
To identify evidence-based and values-based approaches for health technology assessment (HTA).

Main Methods:

Systematic review of published studies on formal methods to consider equity in CEA.
Searches of PubMed and EMBASE databases, supplemented by expert consultation and bibliography checks.
Narrative synthesis of data, including implicit and explicit notions of fairness.

Main Results:

Fifty-one studies were retained, identifying three broad methods for quantitative equity consideration in economic evaluation.
Methods include: integration of distributional concerns (equity weights, social welfare functions), exploration of opportunity costs (mathematical programming), and multi-criteria decision analysis.
Existing techniques range from descriptive to quantitative approaches for integrating equity concerns.

Conclusions:

Viable techniques exist to integrate equity into CEA, but their use in decision-making is hindered by conceptual multiplicity and lack of normative consensus.
Clarifying equity concepts and focusing on procedural fairness can strengthen the application of these techniques in HTA.
Further development is needed to bridge the gap between available methods and their practical implementation in policy decisions.