A Review of Methods and Guidance for Considering Equity in Health Economic Research

Author(s)

Gregg M1, Belgrave X2, Vanderpuye-Orgle J3
1Parexel, Austin, TX, USA, 2Parexel, London, London, UK, 3Parexel International, Billerica, MA, USA

OBJECTIVES: Health equity can be achieved when all people reach their potential for health and well-being. Unfair, and avoidable, differences in health occur when segments of the population have less power and resources than others. Improving health and well-being for all people can grow economies, reduce burden on health care systems, and minimize the spread of some infectious diseases. As a social problem, health equity can be minimized/eliminated by changes in behavior, and as health economists, through how we design and conduct research. In this review we address the question: How can health economists contribute to health equity in their work?

METHODS: A literature review was conducted in PubMed (July 6th 2023), to collect guidance/methods on how health economists can consider health equity in research. We searched Title/Abstract for ((health equity) AND (health economics OR economic evaluation)). The search was not constrained by date. Only English articles were included.

RESULTS: 53 articles were identified in the search and after screening 12 articles were included. Actionable guidance/methods were grouped into 5 areas: (1) Inclusive Evidence - ensuring inclusion of marginalized populations in evidence, (2) Distributional (Cost-Effectiveness) Analysis - examining intervention effect by equity dimensions, sub-groups categorized by equity dimensions (household income, gender, sex, geography, socio-economic status, index of multiple deprivation), (3) Extended and Enhanced Cost-Effectiveness Analysis - extended cost effectiveness analysis including financial aspects of inequality and justice-enhanced cost-effectiveness analysis, (4) Weighting Opportunity Costs and Outcomes - weighting by equity dimensions and measuring public aversion to healthy inequality, (5) Health Equity Impact - measuring changes in equity due to an intervention (relative index of inequality, health (in)equity plane). Results are discussed within a practical implementation framework.

CONCLUSIONS: There are several ways to consider equity in health economic research. By incorporating these into research we can contribute to improving health for all people.

Conference/Value in Health Info

2024-05, ISPOR 2024, Atlanta, GA, USA

Value in Health, Volume 27, Issue 6, S1 (June 2024)

Acceptance Code

P15

Topic

Economic Evaluation, Health Policy & Regulatory

Topic Subcategory

Health Disparities & Equity, Novel & Social Elements of Value

Disease

no-additional-disease-conditions-specialized-treatment-areas

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