Why equal treatment is not always equitable: the impact of existing ethnic health inequalities in cost-effectiveness modeling
作者： Melissa McLeod , Tony Blakely , Giorgi Kvizhinadze , Ricci Harris
关键词: Medicine 、 Life expectancy 、 Epidemiology 、 Gerontology 、 Population 、 Public health 、 Demography 、 Health services research 、 Disease 、 Psychological intervention 、 Cost effectiveness 、 Public Health, Environmental and Occupational Health
摘要: A critical first step toward incorporating equity into cost-effectiveness analyses is to appropriately model interventions by population subgroups. In this paper we use a standardized treatment intervention examine the impact of using ethnic-specific (Māori and non-Māori) data in cost-utility for three cancers. We estimate gains health-adjusted life years (HALYs) simple (20% reduction excess cancer mortality) lung, female breast, colon cancers, Markov modeling. Base models include incidence with other parameters either turned off or set non-Māori levels both groups. Subsequent add survival, morbidity, expectancy. Costs downstream health system costs. For including existing inequalities background (population mortality comorbidities) Māori attributes less value year saved compared lowers relative Māori. contrast, ethnic have predictable effects. Despite having higher from all modeled were lung than but breast interventions. Cost-effectiveness modeling useful tool prioritization services. But there are important (and sometimes counterintuitive) implications disease parameters. order avoid perpetuating health, such should be undertaken care.
biomedcentral.com
springer.com
core.ac.uk
otago.ac.nz 参考文章(24)
Matthew John Soeberg, Trends in cancer survival by ethnic and socioeconomic group, New Zealand, 1991-2004 University of Otago. ,(2014)
Aubrey Sheiham, Closing the gap in a generation: health equity through action on the social determinants of health. A report of the WHO Commission on Social Determinants of Health (CSDH) 2008. Community Dental Health. ,vol. 26, pp. 2- 3 ,(2009)
Wendy R. Brewster, Thomas H. Taylor, Hoda Anton-Culver, Charles P. Theuer, Gender and race/ethnicity affect the cost-effectiveness of colorectal cancer screening. Journal of The National Medical Association. ,vol. 98, pp. 51- 57 ,(2006)
Peter Franks, Erica I. Lubetkin, Joy Melnikow, Do personal and societal preferences differ by socio-demographic group? Health Economics. ,vol. 16, pp. 319- 325 ,(2007) , 10.1002/HEC.1152
Shan Liu, Lauren E. Cipriano, Mark Holodniy, Jeremy D. Goldhaber-Fiebert, Cost-Effectiveness Analysis of Risk-Factor Guided and Birth-Cohort Screening for Chronic Hepatitis C Infection in the United States PLoS ONE. ,vol. 8, pp. e58975- ,(2013) , 10.1371/JOURNAL.PONE.0058975
Mira Johri, Ole Frithjof Norheim, Can cost-effectiveness analysis integrate concerns for equity? Systematic review. International Journal of Technology Assessment in Health Care. ,vol. 28, pp. 125- 132 ,(2012) , 10.1017/S0266462312000050
Joshua A Salomon, Theo Vos, Daniel R Hogan, Michael Gagnon, Mohsen Naghavi, Ali Mokdad, Nazma Begum, Razibuzzaman Shah, Muhammad Karyana, Soewarta Kosen, Mario Reyna Farje, Gilberto Moncada, Arup Dutta, Sunil Sazawal, Andrew Dyer, Jason Seiler, Victor Aboyans, Lesley Baker, Amanda Baxter, Emelia J Benjamin, Kavi Bhalla, Aref Bin Abdulhak, Fiona Blyth, Rupert Bourne, Tasanee Braithwaite, Peter Brooks, Traolach S Brugha, Claire Bryan-Hancock, Rachelle Buchbinder, Peter Burney, Bianca Calabria, Honglei Chen, Sumeet S Chugh, Rebecca Cooley, Michael H Criqui, Marita Cross, Kaustubh C Dabhadkar, Nabila Dahodwala, Adrian Davis, Louisa Degenhardt, Cesar Díaz-Torné, E Ray Dorsey, Tim Driscoll, Karen Edmond, Alexis Elbaz, Majid Ezzati, Valery Feigin, Cleusa P Ferri, Abraham D Flaxman, Louise Flood, Marlene Fransen, Kana Fuse, Belinda J Gabbe, Richard F Gillum, Juanita Haagsma, James E Harrison, Rasmus Havmoeller, Roderick J Hay, Abdullah Hel-Baqui, Hans W Hoek, Howard Hoffman, Emily Hogeland, Damian Hoy, Deborah Jarvis, Jost B Jonas, Ganesan Karthikeyan, Lisa Marie Knowlton, Tim Lathlean, Janet L Leasher, Stephen S Lim, Steven E Lipshultz, Alan D Lopez, Rafael Lozano, Ronan Lyons, Reza Malekzadeh, Wagner Marcenes, Lyn March, David J Margolis, Neil McGill, John McGrath, George A Mensah, Ana-Claire Meyer, Catherine Michaud, Andrew Moran, Rintaro Mori, Michele E Murdoch, Luigi Naldi, Charles R Newton, Rosana Norman, Saad B Omer, Richard Osborne, Neil Pearce, Fernando Perez-Ruiz, Norberto Perico, Konrad Pesudovs, David Phillips, Farshad Pourmalek, Martin Prince, Jürgen T Rehm, Guiseppe Remuzzi, Kathryn Richardson, Robin Room, Sukanta Saha, Uchechukwu Sampson, Lidia Sanchez-Riera, Maria Segui-Gomez, Saeid Shahraz, Kenji Shibuya, David Singh, Karen Sliwa, Emma Smith, Isabelle Soerjomataram, Timothy Steiner, Wilma A Stolk, Lars Jacob Stovner, Christopher Sudfeld, Hugh R Taylor, Imad M Tleyjeh, Marieke J van der Werf, Wendy L Watson, David J Weatherall, Robert Weintraub, Marc G Weisskopf, Harvey Whiteford, James D Wilkinson, Anthony D Woolf, Zhi-Jie Zheng, Christopher JL Murray, Common values in assessing health outcomes from disease and injury: disability weights measurement study for the Global Burden of Disease Study 2010. The Lancet. ,vol. 380, pp. 2129- 2143 ,(2012) , 10.1016/S0140-6736(12)61680-8
Erik Nord, Jeff Richardson, Andrew Street, Helga Kuhse, Peter Singer, Maximizing health benefits vs egalitarianism: An Australian survey of health issues Social Science & Medicine. ,vol. 41, pp. 1429- 1437 ,(1995) , 10.1016/0277-9536(95)00121-M
Tony Blakely, Caroline Shaw, June Atkinson, Ruth Cunningham, Diana Sarfati, Social inequalities or inequities in cancer incidence? Repeated census-cancer cohort studies, New Zealand 1981–1986 to 2001–2004 Cancer Causes & Control. ,vol. 22, pp. 1307- 1318 ,(2011) , 10.1007/S10552-011-9804-X
Paul Dolan, Rebecca Shaw, Aki Tsuchiya, Alan Williams, QALY maximisation and people's preferences: a methodological review of the literature. Health Economics. ,vol. 14, pp. 197- 208 ,(2005) , 10.1002/HEC.924