Fairness in cost‐benefit analysis: A methodology for health technology assessment

B-Tier
Journal: Health Economics
Year: 2018
Volume: 27
Issue: 1
Pages: 102-114

Authors (7)

Anne‐Laure Samson (Université Paris-Panthéon-Assa...) Erik Schokkaert (KU Leuven) Clémence Thébaut (not in RePEc) Brigitte Dormont (not in RePEc) Marc Fleurbaey (Paris School of Economics) Stéphane Luchini (not in RePEc) Carine Van de Voorde (not in RePEc)

Score contribution per author:

0.287 = (α=2.01 / 7 authors) × 1.0x B-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

We evaluate the introduction of various forms of antihypertensive treatments in France with a distribution‐sensitive cost‐benefit analysis. Compared to traditional cost‐benefit analysis, we implement distributional weighting based on equivalent incomes, a new concept of individual well‐being that does respect individual preferences but is not subjectively welfarist. Individual preferences are estimated on the basis of a contingent valuation question, introduced into a representative survey of the French population. Compared to traditional cost‐effectiveness analysis in health technology assessment, we show that it is feasible to go beyond a narrow evaluation of health outcomes while still fully exploiting the sophistication of medical information. Sensitivity analysis illustrates the relevancy of this richer welfare framework, the importance of the distinction between an ex ante and an ex post approach, and the need to consider distributional effects in a broader institutional setting.

Technical Details

RePEc Handle
repec:wly:hlthec:v:27:y:2018:i:1:p:102-114
Journal Field
Health
Author Count
7
Added to Database
2026-01-25