Distributional cost-effectiveness analysis (DCEA)
DCEA is a general term for various ways of analysing equity in the distribution of costs and effects as well as value for money in terms of aggregate costs and effects.
Equity impact plane
For the public
- Learning about economic evaluation and health inequality (PDF
, 1,060kb) - Conducting DCEA using aggregate data (PDF , 279kb)
- Why do we need to do economic evaluations? (PDF , 1,193kb): Infographic based on the projects funded by the public health research consortium.
For professionals
- Using cost-effectiveness analysis to address health equity concerns. Value in Health 2017
- Distributional Cost-Effectiveness Analysis Comes of Age – Editorial in Value in Health 2021
- iHEA Webinar: Methods for Incorporating Equity into Economic Evaluation (June 2020)
- Blog: Distributional Cost Effectiveness Analysis (September 2018)
Handbook
- Oxford University Press handbook of distributional cost-effectiveness analysis, and online spreadsheet training exercises, accompanying the handbook
Simple DEA calculator
- Web calculator
- Technical manual - CHE RP 193, Quantifying Impact on Health Inequality in England, Richard Cookson and James Koh
Journal articles
- Distributional Cost-Effectiveness Analysis: A Tutorial. Medical Decision Making 2015
- Extended Cost-Effectiveness Analysis for Health Policy Assessment: A Tutorial. PharmacoEconomics 2016
- Evaluation of Intervention Impact on Health Inequality for Resource Allocation. Medical Decision Making 2019
Book chapters
- Incorporating health inequality impacts into cost-effectiveness analysis (PDF , 330kb), in the Elsevier On-line Encyclopedia of Health Economics, 2014
- Measuring health inequality in the context of cost-effectiveness analysis (PDF , 700kb), in Health and Inequality (Research on Economic Inequality, Volume 21), 2013
Journal articles
- Distributional Cost-Effectiveness Analysis of Health Care Programmes – A Methodological Case Study of The UK Bowel Cancer Screening Programme. Health Economics 2014
- The Social Distribution of Health: Estimating Quality-Adjusted Life Expectancy in England. Value in Health 2015
- Universal Public Finance of Tuberculosis Treatment in India: An Extended Cost-Effectiveness Analysis. Health Economics 2015
- Equity-Informative Health Technology Assessment – A Commentary. Social Science & Medicine. Accepted manuscript version Cookson et al: Cookson - commentary on equity-informative economic evaluation (PDF , 294kb)
- Eliciting the Level of Health Inequality Aversion in England. Health Economics
- Distributional Cost-Effectiveness Analysis in Low- And Middle-Income Countries: Illustrative Example of Rotavirus Vaccination in Ethiopia. Health Policy and Planning 2018
- Aggregate Distributional Cost-Effectiveness Analysis of Health Technologies. Value in Health 2019
- Novel Approaches to Value Assessment Within the Cost-Effectiveness Framework. Value in Health 2019
- Striving for A Societal Perspective: A Framework for Economic Evaluations When Costs and Effects Fall on Multiple Sectors And Decision Makers. Applied Health Economics and Health Policy 2019
- Methods to Promote Equity in Health Resource Allocation in Low- And Middle-Income Countries: An Overview. Globalization and Health 2020
- Estimating Social Variation in the Health Effects of Changes in Health Care Expenditure. Medical Decision Making 2020
- Distributional Cost Effectiveness Analysis of West Yorkshire Low Emission Zone Policies. Health Economics 2020
- Impact of Socioeconomic Differences on Distributional Cost-Effectiveness Analysis. Medical Decision Making 2020
- Distributional Impact of the Malawian Essential Health Package. Health Policy and Planning 2020
- How Health Inequalities Accumulate and Combine to Affect Treatment Value: A Distributional Cost-Effectiveness Analysis of Smoking Cessation Interventions. Social Science & Medicine 2020
- Quality Adjusted Life Years Based on Health and Consumption: A Summary Wellbeing Measure for Cross-Sectoral Economic Evaluation. Health Economics 2021.
Reports and working papers
- Identifying Appropriate Methods to Incorporate Concerns About Health Inequalities into Economic Evaluations of Health Care Programmes. Final Report
- Lifecourse Modelling for Childhood Policy Analysis. Equipol Working Paper (PDF) 2020.
- ISPOR Special Interest Group in Health Equity Research
- iHEA Special Interest Group on Equity-Informative Economic Evaluation
Key institutions relevant to DCEA
- Harvard Extended Cost-Effectiveness Analysis (ECEA)
- Bergen Centre for Ethics and Priority Setting (BCEPS)
- Sheffield Addictions Research Group (SARG)
Modelling groups relevant to DCEA
Online distributional cost-effectiveness analysis tool
Policy workshops
- Workshop 1 in March 2012 (overview)
- Workshop 2 in February 2013 (bowel cancer screening case study)
MSc workshops
These presentation materials are copyright University of York and may not be reproduced without prior permission. However, we are happy for you to re-use them for non-commercial educational or research purposes so long as you acknowledge the authors and let us know.
- MSc Workshop Feb 2019
- MSc Workshop Feb 2018
, 24kb)
, 87kb)Presentations
- Quantifying Health Equity Impacts in Effectiveness and Cost-Effectiveness Studies. Society for Social Medicine Annual Meeting (September 2016): Equity workshop at Society for Social Medicine Sep 2016 (PDF , 1,363kb)
- Incorporating Health Inequality Impacts into Cost-Effectiveness Analysis - A Framework (2016): Cookson on DCEA (PDF , 1,089kb)