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Equity-informative methods of health services research

Richard Cookson (Centre for Health Economics, University of York, York, UK)
Matthew Robson (Department of Health Sciences, University of York, York, UK)
Ieva Skarda (Centre for Health Economics, University of York, York, UK)
Tim Doran (Department of Health Sciences, University of York, York, UK)

Journal of Health Organization and Management

ISSN: 1477-7266

Article publication date: 2 July 2021

Abstract

Purpose

We review quantitative methods for analysing the equity impacts of health care and public health interventions: who benefits most and who bears the largest burdens (opportunity costs)? Mainstream health services research focuses on effectiveness and efficiency but decision makers also need information about equity.

Design/methodology/approach

We review equity-informative methods of quantitative data analysis in three core areas of health services research: effectiveness analysis, cost-effectiveness analysis and performance measurement. An appendix includes further readings and resources.

Findings

Researchers seeking to analyse health equity impacts now have a practical and flexible set of methods at their disposal which builds on the standard health services research toolkit. Some of the more advanced methods require specialised skills, but basic equity-informative methods can be used by any health services researcher with appropriate skills in the three core areas.

Originality/value

We hope that this review will raise awareness of equity-informative methods of health services research and facilitate their entry into the mainstream so that health policymakers are routinely presented with information about who gains and who loses from their decisions.

Keywords

Acknowledgements

This is independent research by the University of York funded by the Wellcome Trust (Grant No. 205427/Z/16/Z). Work developing some of the methods described was funded by the National Institute for Health Research (SRF-2013-06-015).

The views expressed are those of the authors and not necessarily those of the Wellcome Trust, the UK NHS, National Institute for Health Research or Department of Health and Social Care.

The authors would like to thank Suzanne Robinson and Rachel Morton for helpful comments, Helen Cohen for formatting our references, and Miqdad Asaria and Ana Castro for producing the publicly available indicator data and graphs that we have re-used to create the figures in the section on equity-informative performance measurement.

Citation

Cookson, R., Robson, M., Skarda, I. and Doran, T. (2021), "Equity-informative methods of health services research", Journal of Health Organization and Management, Vol. ahead-of-print No. ahead-of-print. https://doi.org/10.1108/JHOM-07-2020-0275

Publisher

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Emerald Publishing Limited

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