VoCHI - Eliciting Preferences and Weights for Equity and Efficiency: A Methodological Scoping Review

Project start and end dates: May 2021 - Dec 2022

Background: 
Healthcare allocation decisions have largely adopted a utilitarian approach: decisions that result in the greatest gains in life or quality of life for the population as a whole are preferred. With increasing attention being paid to addressing inequalities in health, novel approaches to incorporate inequality consideration have been developed for health policy decision making.

Objectives:
The goal of this study was to identify similarities and differences in approaches to elicit trade-offs between equity and efficiency characteristics that can be used to inform resource allocation.

Research Topics & Methods:

• Scoping review

Implications:
This work will inform later efforts to generate health and income inequality aversion coefficients for US-based distributional cost-effectiveness analyses.

Funding statement:
The project is funded by the Valuation of Child Health Initiative (VoCHI)

Collaborators: 
Lisa Prosser, PhD
Marilyn Fisher Blanch Research Professor of Pediatrics, University of Michigan

Christopher Cadham, MPH
Graduate Student, Health Management and Policy, University of Michigan