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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.

Introductory resources

For the public

For professionals

Technical training resources

Methods development resources

  • 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.
    • 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 2020. (Forthcoming)
  •  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.

Networking resources

Other resources



To find out more, please contact Richard CooksonSusan Griffin