Trading off health and financial protection benefits with multiobjective optimization

Karsu, Özlem and Morton, Alec (2021) Trading off health and financial protection benefits with multiobjective optimization. Health Economics, 30 (1). pp. 55-69. ISSN 1057-9230

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    Abstract

    Countries which are introducing a system of Universal health coverage have to make a number of key tradeoffs, of which one is the tradeoff between the level of coverage and the degree to which patients are exposed to potentially catastrophic financial risk. In this study, we first present a way in which decision makers might be supported to focus on in a particular part of the tradeoff curve and ultimately choose an efficient solution. We then introduce some multiobjective optimization models for generating the tradeoff curves given data about potential treatment numbers, costs, and benefits. Using a dataset from Malawi, we demonstrate the approach and suggest a core index metric to make specific observations on the individual treatments. Moreover, as there has been some debate about the best way to measure financial exposure, we also investigate the extent to sensitivity of our results to the precise technical choice of financial exposure metric. Specifically, we consider two metrics, which are the total number of cases protected from catastrophic expenditure and a convex penalty function that penalizes out-of-pocket expenditures in an increasingly growing way, respectively.

    Creators(s): Karsu, Özlem and Morton, Alec ORCID logoORCID: https://orcid.org/0000-0003-3803-8517;
    Item type:Article
    ID code:74194
    Keywords:cost effectiveness analysis, economic anlysis, financial protection, health benefits packages, extended cost effectivness analysis, Management. Industrial Management, Management Science and Operations Research
    Subjects:Social Sciences > Industries. Land use. Labor > Management. Industrial Management
    Department:Strathclyde Business School > Management Science
    Strategic Research Themes > Health and Wellbeing
    Depositing user: Pure Administrator
    Date deposited:09 Oct 2020 12:01
    Last modified:06 Jan 2021 08:59
    Related URLs:
    URI:https://strathprints.strath.ac.uk/id/eprint/74194
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