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How Economic Decision Modeling Can Facilitate Health Equity
Jeffrey S Hoch1, Logan Trenaman2, Shannon M Hearney3
1Professor and the chief of the Division of Health Policy and Management in the Department of Public Health Sciences at the University of California, Davis.
AMA Journal of Ethics
|August 30, 2021
Summary
This study explores how economic modeling can advance health equity research and inform health technology assessments. It demonstrates how modeling can broaden options for improving health equity and integrate equity into cost-effectiveness frameworks.
Area of Science:
- Health economics
- Health equity research
- Health technology assessment
Background:
- Economic modeling is increasingly used in healthcare decision-making.
- Integrating health equity considerations into economic evaluations remains a challenge.
- Traditional cost-effectiveness analyses may not fully capture equity impacts.
Purpose of the Study:
- To illustrate how economic modeling can stimulate health equity inquiry.
- To examine the incorporation of equity into cost-effectiveness frameworks.
- To explore how non-traditional data can inform health technology assessment.
Main Methods:
- Review of existing literature and case examples.
- Conceptual framework development for integrating equity into economic models.
- Discussion of data sources beyond cost-effectiveness analysis.
Main Results:
- Modeling can identify and prioritize interventions that improve health equity.
- Economic models can be adapted to incorporate equity-related objectives.
- Diverse information sources enhance the comprehensiveness of health technology assessment.
Conclusions:
- Economic modeling is a valuable tool for advancing health equity research.
- Integrating equity into cost-effectiveness frameworks requires methodological innovation.
- A broader evidence base strengthens health technology assessment for equitable outcomes.
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