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Considering equity in priority setting using transmission models: Recommendations and data needs.

M Quaife1, G F Medley2, M Jit3

  • 1Department of Global Health and Development, London School of Hygiene and Tropical Medicine, UK; Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, UK.

Epidemics
|November 7, 2022
PubMed
Summary
This summary is machine-generated.

Infectious disease models must incorporate health equity for accurate priority setting. This study provides guidance on using transmission models to analyze health equity and achieve more equitable health policies.

Keywords:
Cost-effectiveness analysisEquityHealth economicsPrioritySettingTransmission modelling

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Area of Science:

  • Public Health
  • Health Economics
  • Epidemiology

Background:

  • Disease transmission models are crucial for evaluating public health interventions, including the COVID-19 response.
  • Current models often overlook health equity, failing to address differential health burdens across populations.
  • Incorporating equity is essential for fair priority setting in infectious disease control.

Approach:

  • Literature review on equity concepts in economic evaluations.
  • Technical consultation with experts in health economics, ethics, mathematical modeling, and global health organizations.
  • Formulation of consensus and recommendations for equity-informed infectious disease modeling.

Key Points:

  • Recommendations for applying the Reference Case for Economic Evaluation in Global Health.
  • Guidance on specifying equity concepts, choosing evaluation frameworks, model structure, and data requirements.
  • Emphasis on transparent reporting of assumptions and data limitations.

Conclusions:

  • Existing economic evaluation methodologies can incorporate health equity.
  • Infectious disease models need to integrate these frameworks for accurate representation of health inequities.
  • Guidance provided aims to support technical approaches for more equitable health policies.