Strengthening Methods and International Evidence on Health Inequality Aversion

作者：Marie-Anne Boujaoude, Nancy Devlin, Tim Doran, Jeremiah Hurley, Richard Cookson, Shehzad Ali, Yukiko Asada, Mathias Barra, Xiaoning He, Sindre August Horn, Shan Jiang, Mizan Kiros, Sitanshu Sekhar Kar, Andrew Mirelman, Ole Norheim, Mikkel Z. Oestergaard, Edith Patouillard, Matthew Robson, Salome Ricci, Erik Schokkaert, Julia Slejko, Kyoko Shimamoto, Aki Tsuchiya, Laura Trigg · 发表于：Value in Health · 年份：2025 · DOI：10.1016/j.jval.2025.11.006 · 被引用次数：4 · 研究领域：Health disparities and outcomes、Health Systems, Economic Evaluations, Quality of Life、Healthcare Systems and Reforms

OBJECTIVES: This article summarizes areas of methodological agreement about health inequality aversion and proposes a research agenda to strengthen methods and international evidence to inform priority setting. METHODS: This article arises from a workshop in November 2024 that brought together methodologists and applied researchers fr12 countries, including ethicists, physicians, epidemiologists, and health economists. The workshop comprised methods and research application presentations culminating in a guided discussion to gain consensus on methods and research agenda. RESULTS: Participants agreed that (1) the magnitude of health inequality aversion may depend on the concept of inequality used; (2) both the concept and magnitude of aversion may vary by decision-making context; (3) pre-existing preferences are often incomplete or internally inconsistent; (4) comparisons across broad ordinal categories of inequality aversion are more robust than point estimates; (5) underlying social value judgments should be clearly communicated to decision makers and the public; (6) health inequality aversion is relevant across a wide range of social decisions; and (7) an international database of estimates would facilitate data sharing and comparability. The proposed research agenda prioritizes investigation into (1) the nature and shape of inequality aversion; (2) how the choice of health measure influences responses; (3) interactions among multiple dimensions of social disadvantage; (4) ...