Please find below a summary of articles and publications (e.g. research papers, publications and tools) on the subject of Health Economics. These materials are available for study purposes only and by using them you are agreeing to these specific terms of use.

Health Economics Books

Global Health Economics Shaping Health Policy in Low- and Middle-Income Countries | World Scientific | July 2020

Authors: Paul Revill, Marc Suhrcke, Rodrigo Moreno Serra, Mark Sculpher

This book presents a collection of the latest global health economics research, conducted by the Centre for Health Economics (CHE) at the University of York and other partner research institutions. Each chapter focuses upon an important topic in global health economics, with information on health care policy evaluation; economic evaluation; econometric and other analytic methods; health equity and universal health coverage; consideration of cost-effectiveness thresholds and opportunity costs in the health sector; health system challenges and possible solutions; and others. A number of research projects are also showcased in addition to case study examples, from a variety of low- and middle-income countries (LMIC) settings. Order the book, or download for free, by visiting the World Scientific website here

Handbook of Distributional Cost-Effectiveness Analysis | Oxford University Press | September 2020

Authors: Richard Cookson, Susan Griffin, Ole F. Norheim, Anthony J. Culyer

The Oxford University Press handbook of distributional cost-effectiveness analysis is a comprehensive guide to analysing health equity impacts and trade-offs in any decision context, for academics, practitioners, managers, policymakers, and stakeholders. Covering a full suite of practical methods, training excercises and tools, the handbook provides a clear introduction to distributional cost-effectiveness analysis, and its aim to help healthcare and public health organizations make fairer decisions with better outcomes. 

A full range of freely-accessible and downloadable supporting materials have also been developed in parallel with the Handbook, including the DCEA research tool and a series of spreadsheet training exercises, which are labelled to accompany specific Handbook chapter topics. For further information about how to order a copy of the Handbook, or to access any of the free downloadable training resources, please visit the University of York, Centre for Health Economics website here.

Health Economics Practical Guides

Simple Guide on Using the Ugandan EQ-5D-5L value set | 2021 

Authors: Fan Yang, Susan Griffin

EQ-5D-5L value sets are a family of instruments developed to describe and value health. They have been used for over 30 years in clinical trials, population studies, and real-world settings, and represent the preferences of the general population of a country or region with respect to health. This EQ-5D-5L valuation study is the first of its kind to be delivered in and for Uganda (the third value set in Africa, following Ethiopia and Egypt) and the first to use a 'lite' protocol, which requires a smaller sample by collecting more composite time trade-off data from each respondent.

This guidance document accompanies the Developing the EQ-5D-5L Value Set for Uganda Using the ‘Lite’ Protocol 2021 research article (Authors: Fan Yang, Kenneth R. Katumba, Bram Roudijk, Zhihao Yang, Paul Revill, Susan Griffin, Perez N. Ochanda, Mohammed Lamorde, Giulia Greco, Janet Seeley & Mark Sculpher), and summarises how the value set can be used as the foundation for sound health economic evaluations and health technology assessment to inform decision making in the healthcare system in Uganda and the East Africa region.

Learning about economic evaluation and health inequality | 2020

Authors: Fan Yang, Susan Griffin, Michael Reakes

This training resource on distributional cost-effectiveness analysis offers an introduction to the common terms and concepts used by individuals who conduct economic evaluations. Focussing on the overarching processes of economic evaluation and health inequality, this teaching resource is designed to be used to learn more about the information collected by researchers and the methods used to complete calculations. Specific example scenarios are referenced (the NHS providing smoking cessation services), to illustrate how these concepts are used in practical terms to aid decision-making processes and measure health opportunity costs. 

Learning about Aggregate Distributional Cost-Effectiveness Analysis | 2020

Authors: Fan Yang, Susan Griffin, Michael Reakes

This document will familiarise you with one research method used to measure value for money and to describe how different population groups benefit from healthcare interventions.

Economic Analysis for Health Benefits Package Design | 2019

Authors: James Love-Koh, Simon Walker, Edward Kataika, Sibusiso Sibandze, Matthias Arnold, Jessica Ochalek, Susan Griffin, Paul Revill, Mark Sculpher

A health benefits package (HBP) defines the list of publicly provided health services offered by a country’s health system. HBPs are seen as an important component toward achieving universal health coverage in low- and middle-income countries. This paper provides an overview of the main considerations that arise when designing and implementing an HBP.

Incorporating concerns for equity into health resource allocation: A guide for practitioners | 2019

Authors: James Love-Koh, Susan Griffin, Edward Kataika, Paul Revill, Sibusiso Sibandze, Simon Walker

Unfair differences in health care access, quality or health outcomes exist between and within countries around the world, and improving health equity is an important social objective for many governments and international organizations. This paper summaries the methods for analysing health equity available to policymakers regarding the allocation of health sector resources.

Health Economics Research Tool

Uncertainty Analysis for supporting HBP design: VOI-HBP tool | December 2021

Authors: Laetitia Schmitt, Beth Woods, Jessica Ochalek, Karl Claxton

Accompanying research article: Concomitant health benefits package design and research prioritisation: development of a new approach and an application to Malawi (authored by: Laetitia Schmitt, Jessica Ochalek, Karl Claxton, Paul Revill, Dominic Nkhoma, Beth Woods) | December 2021

Evidence on the costs and benefits of healthcare interventions considered for inclusion in a health benefits package (HBP) is inevitably uncertain. The above research article and easy-to-use accompanying Value of Information for Health Benefits Package design (VOI-HBP) tool present a framework to estimate the health benefits of undertaking research to inform the inclusion and exclusion of interventions within HBPs. They can be used to help prioritise the allocation of research funds to where these can have the largest benefits in improving population health.

A practical tool for establishing the health benefits of research to support research prioritisation (MS Excel) | July 2020 

Authors: Beth Woods, Laetitia Schmitt, Claire Rothery, Andrew Phillips, Timothy Hallett, Paul Revill, Karl Claxton

This tool uses the principles of value of information analysis to estimate the health benefits of research. The tool provides a simple method for estimating the value of a research study in terms of net DALYs averted. The tool can be used to evaluate the health benefits of collecting data in a wide range of settings and from a wide range of studies. Information on the health benefits of research can be used alongside research costs to help health-care decision makers identify high priority areas for research. This tool should be used with reference to the accompanying paper: Practical metrics for establishing the health benefits of research to support research prioritisation.

Health Economics Articles 

Thanzi la Onse Publications

A range of health economics papers, journal articles and reports have been written by Thanzi la Onse researchers in partnership with programme partners and collaborators. The full list of Thanzi la Onse publications can be found here:   

Public Finance and Service Delivery Working Paper Series | March 2021

Launched by the Overseas Development Institute (ODI) in March 2021, this working paper series aims to contribute to the body of public finance and service delivery knowledge, by offering a platform for shared insights and discussion. It features practical, policy-relevant research that explores empirically how public financial management (PFM) processes, tools, and mechanisms link to broader sector management and how their application and effectiveness might vary given the diversity of institutional and socio-political contexts found within and across different countries. The series will cover a range of themes including: orienting PFM systems to support service provision; financing arrangements for service providers; fiscal decentralisation and service delivery; political institutions and spending on services; and the role of technology in facilitating effective spending on services. Further information about the working paper series can be found via the link above, on the ODI blog and in the call for proposals and papers.

Health Financing Policy Reforms for Universal Health Coverage in Eastern, Central and Southern Africa (ECSA)- Health Community Region | February 2021

Author: Takondwa Mwase

This Policy Brief looks at revenue collection and pooling within the context of health financing, and explores the experiences and challenges of implementing different health financing reform policies across the East, Central and Southern Africa Health Community states and beyond.