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Cost and Outcomes of Actions Aimed At Increased Equity 121107
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin.
2012 (Engelska)Ingår i: INTERNATIONAL CONFERENCE ON GLOBAL PUBLIC HEALTH 2012, Colombo, 2012, s. 157-173Konferensbidrag, Publicerat paper (Refereegranskat)
Abstract [en]

BACKGROUND Equity in health is one important goal in public health and health care. Thus is the health of the nation a function of both level and distribution of health. One sign of the importance of the equity goal is studies that try to estimate the cost of inequity. However, this kind of study has no clear policy implications. More useful are studies that estimate the cost of interventions aimed at increased equity in combination with estimated of the consequences of the intervention. Objectives Elaborate a model for estimating and valuing costs and consequences of interventions aimed at increased equity. Design A Markov model was used to estimate the remaining expected QALYs during the period 16 to 100 years for different educational levels and sexes. An intervention with the purpose to prevent drop outs from high school was analyzed. The level and distribution of health were estimated before and after the intervention, as well as the cost for the intervention and the QALYs gained by the intervention. Results The gaps between the different educational levels were significant before intervention (about 6-7 QALYs). The intervention under study reduced the gaps, and the cost-effectiveness ratios were far below accepted threshold levels for cost-effectiveness. Conclusion This example proves that a systematic analysis of interventions aimed at increase equity is possible, and give useful information to those responsible for policy-making. In general, the main problem in the context of public health and social policies is to present convincing evidence regarding causality.

Ort, förlag, år, upplaga, sidor
Colombo, 2012. s. 157-173
Serie
Global Public Health Conference Proceedings, ISSN 2279-235X
Nyckelord [en]
inequity, cost, trade-off, Markov model
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
URN: urn:nbn:se:umu:diva-129828ISI: 000340501100013OAI: oai:DiVA.org:umu-129828DiVA, id: diva2:1063180
Konferens
International Conference on Global Public Health, DEC 03-04, 2012, Int Ctr Res & Dev Sri Lanka, Colombo, SRI LANKA
Tillgänglig från: 2017-01-09 Skapad: 2017-01-09 Senast uppdaterad: 2018-06-09Bibliografiskt granskad

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Lindholm, Lars

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Institutionen för folkhälsa och klinisk medicin
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi

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