Projects per year
Abstract
Health care interventions may affect the health of patients’ family networks. It has been suggested that these “health spillovers” should be included in economic evaluation, but there is not a systematic method for doing this. In this article, we develop a framework for including health spillovers in economic evaluation. We focus on extra-welfarist economic evaluations where the objective is to maximize health benefits from a health care budget (the “health care perspective”). Our framework involves adapting the conventional cost-effectiveness decision rule to include 2 multiplier effects to internalize the spillover effects. These multiplier effects express the ratio of total health effects (for patients and their family networks) to patient health effects. One multiplier effect is specified for health benefit generated from providing a new intervention, one for health benefit displaced by funding this intervention. We show that using multiplier effects to internalize health spillovers could change the optimal funding decisions and generate additional health benefits to society.
Original language | English |
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Pages (from-to) | 176-186 |
Journal | Medical Decision Making |
Volume | 36 |
Issue number | 2 |
Early online date | 16 Sept 2015 |
DOIs | |
Publication status | Published - 29 Feb 2016 |
Keywords
- economic evaluation
- extra-welfarism
- family
- informal care
- spillovers
Fingerprint
Dive into the research topics of 'A framework for including family health spillovers in economic evaluation'. Together they form a unique fingerprint.Projects
- 1 Finished
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Measuring and Modelling the 'Spillover' Effects of Healthcare Interventions
Coast, J. & Al-Janabi, H.
4/06/11 → 3/06/14
Project: Research Councils
Datasets
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Family Impact of Meningitis dataset
Al-Janabi, H. (Creator), University of Birmingham, 2017
DOI: 10.25500/eData.bham.00000031
Dataset