{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T03:20:09Z","timestamp":1792812009803,"version":"4.5.0"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,5,2]],"date-time":"2014-05-02T00:00:00Z","timestamp":1398988800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"funder":[{"name":"Department of Health Policy Research Programme Public Health Research Consortium (PHRC)","id":[{"id":"https:\/\/ror.org\/03v78xj45","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Health Economics"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    This paper presents an application of a new methodological framework for undertaking distributional cost\u2010effectiveness analysis to combine the objectives of maximising health and minimising unfair variation in health when evaluating population health interventions. The National Health Service bowel cancer screening programme introduced in 2006 is expected to improve population health on average and to worsen population health inequalities associated with deprivation and ethnicity \u2013 a classic case of \u2018intervention\u2010generated inequality\u2019. We demonstrate the distributional cost\u2010effectiveness analysis framework by examining two redesign options for the bowel cancer screening programme: (i) the introduction of an enhanced targeted reminder aimed at increasing screening uptake in deprived and ethnically diverse neighbourhoods and (ii) the introduction of a basic universal reminder aimed at increasing screening uptake across the whole population. Our analysis indicates that the universal reminder is the strategy that maximises population health, while the targeted reminder is the screening strategy that minimises unfair variation in health. The framework is used to demonstrate how these two objectives can be traded off against each other, and how alternative social value judgements influence the assessment of which strategy is best, including judgements about which dimensions of health variation are considered unfair and judgements about societal levels of inequality aversion. \u00a9 2014 The Authors.\n                    <jats:italic>Health Economics<\/jats:italic>\n                    published by John Wiley &amp; Sons Ltd.\n                  <\/jats:p>","DOI":"10.1002\/hec.3058","type":"journal-article","created":{"date-parts":[[2014,5,2]],"date-time":"2014-05-02T09:06:36Z","timestamp":1399021596000},"page":"742-754","source":"Crossref","is-referenced-by-count":107,"title":["Distributional Cost\u2010Effectiveness Analysis of Health Care Programmes \u2013 A Methodological Case Study of the UK Bowel Cancer Screening Programme"],"prefix":"10.1002","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3538-4417","authenticated-orcid":false,"given":"Miqdad","family":"Asaria","sequence":"first","affiliation":[{"name":"Centre for Health Economics University of York York UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Griffin","sequence":"additional","affiliation":[{"name":"Centre for Health Economics University of York York UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Cookson","sequence":"additional","affiliation":[{"name":"Centre for Health Economics University of York York UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Whyte","sequence":"additional","affiliation":[{"name":"School of Health and Related Research University of Sheffield Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Tappenden","sequence":"additional","affiliation":[{"name":"School of Health and Related Research University of Sheffield Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,5,2]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-0531(70)90039-6"},{"key":"e_1_2_7_3_1","doi-asserted-by":"crossref","unstructured":"BaltussenR NiessenL.2006.Priority setting of health interventions: the need for multi\u2010criteria decision analysis.Cost effectiveness and resource allocation:C\/E 4 p.14. 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Evidence from systematic reviews","author":"Lorenc T","year":"2012","journal-title":"Journal of Epidemiology and Community Health"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2012.303"},{"key":"e_1_2_7_15_1","unstructured":"National Cancer Intelligence Network.2004.Cancer incidence by deprivation 1995\u20132004 Available at:http:\/\/www.ncin.org.uk\/view.aspx?rid=73."},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1099-1050(199902)8:1<25::AID-HEC398>3.0.CO;2-H"},{"key":"e_1_2_7_17_1","unstructured":"ONS.2007.Longitudinal study age\u2010specific mortality data 1972\u20132005 (supplementary tables) Available at:http:\/\/www.ons.gov.uk\/ons\/rel\/health\u2010ineq\/health\u2010inequalities\/trends\u2010in\u2010life\u2010expectancy\u2010by\u2010social\u2010class\u20101972\u20102005\/longitudinal\u2010study\u2010age\u2010specific\u2010mortality\u2010data\u20101972\u20102005\u2010\u2010supplementary\u2010tables\u2010.xls."},{"key":"e_1_2_7_18_1","unstructured":"ONS.2012.Cancer incidence and mortality in the UK 2007\u20132009 Available at:http:\/\/www.ons.gov.uk\/ons\/dcp171778_259504.pdf."},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2007.13.4098"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.2307\/2554117"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1057\/hsq.2010.20"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.2006.095109"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/hec.3019"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyr008"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-6296(02)00006-1"},{"key":"e_1_2_7_26_1","unstructured":"WellerD.2009.Evaluation of the 3rd round of the English bowel cancer screening pilot report to the NHS cancer screening programmes Available at:http:\/\/www.cancerscreening.nhs.uk\/bowel\/pilot\u20103rd\u2010round\u2010evaluation.pdf."},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X10384738"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2012.03014.x"}],"container-title":["Health Economics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fhec.3058","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hec.3058","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,26]],"date-time":"2024-05-26T05:03:32Z","timestamp":1716699812000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hec.3058"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,5,2]]},"references-count":27,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2015,6]]}},"alternative-id":["10.1002\/hec.3058"],"URL":"https:\/\/doi.org\/10.1002\/hec.3058","archive":["Portico"],"relation":{},"ISSN":["1057-9230","1099-1050"],"issn-type":[{"value":"1057-9230","type":"print"},{"value":"1099-1050","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,5,2]]}}}