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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Methodological issues to consider when collecting data to estimate poverty impact in economic evaluations in low-income and middle-income countries
AU - Sweeney, Sedona
AU - Vassall, Anna
AU - Foster, Nicola
AU - Simms, Victoria
AU - Ilboudo, Patrick
AU - Kimaro, Godfather
AU - Mudzengi, Don
AU - Guinness, Lorna
PY - 2016/2/1
Y1 - 2016/2/1
N2 - Out‐of‐pocket spending is increasingly recognized as an important barrier to accessing health care, particularly in low‐income and middle‐income countries (LMICs) where a large portion of health expenditure comes from out‐of‐pocket payments. Emerging universal healthcare policies prioritize reduction of poverty impact such as catastrophic and impoverishing healthcare expenditure. Poverty impact is therefore increasingly evaluated alongside and within economic evaluations to estimate the impact of specific health interventions on poverty. However, data collection for these metrics can be challenging in intervention‐based contexts in LMICs because of study design and practical limitations. Using a set of case studies, this letter identifies methodological challenges in collecting patient cost data in LMIC contexts. These components are presented in a framework to encourage researchers to consider the implications of differing approaches in data collection and to report their approach in a standardized and transparent way. © 2016 The Authors. Health Economics published by John Wiley & Sons Ltd.
AB - Out‐of‐pocket spending is increasingly recognized as an important barrier to accessing health care, particularly in low‐income and middle‐income countries (LMICs) where a large portion of health expenditure comes from out‐of‐pocket payments. Emerging universal healthcare policies prioritize reduction of poverty impact such as catastrophic and impoverishing healthcare expenditure. Poverty impact is therefore increasingly evaluated alongside and within economic evaluations to estimate the impact of specific health interventions on poverty. However, data collection for these metrics can be challenging in intervention‐based contexts in LMICs because of study design and practical limitations. Using a set of case studies, this letter identifies methodological challenges in collecting patient cost data in LMIC contexts. These components are presented in a framework to encourage researchers to consider the implications of differing approaches in data collection and to report their approach in a standardized and transparent way. © 2016 The Authors. Health Economics published by John Wiley & Sons Ltd.
U2 - 10.1002/hec.3304
DO - 10.1002/hec.3304
M3 - Journal article
VL - 25
SP - 42
EP - 52
JO - Health Economics
JF - Health Economics
SN - 1057-9230
IS - Supp 1
ER -