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Our research methods help policy makers make fairer decisions with better health outcomes.

The problem. Existing analyses focus on a mythical average citizen.

The solution. We develop ways of analysing who gains and loses from health policies.

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Publication details

Journal Health Economics
Date Accepted/In press - 24 Aug 2020
Original language English


We introduce a summary wellbeing measure for economic evaluation of cross-sectoral public policies with impacts on health and living standards. We show how to calculate period-specific and lifetime wellbeing using quality-adjusted life years based on widely available data on health-related quality of life and consumption and normative assumptions about three parameters – minimal consumption, standard consumption, and the elasticity of the marginal value of consumption. We also illustrate how these three parameters can be tailored to the decision-making context and varied in sensitivity analysis to provide information about the implications of alternative value judgements. As well as providing a general measure for cost-effectiveness analysis and cost-benefit analysis in terms of wellbeing, this approach also facilitates distributional analysis in terms of how many good years different population subgroups can expect to live under different policy scenarios.

Publication details

Journal European Journal of Public Health
Date Accepted/In press - 13 Jul 2020
Date E-pub ahead of print (current) - 23 Aug 2020
Number of pages 8
Pages (from-to) 1-8
Early online date 23/08/20
Original language English

Bibliographical note

© The Author(s) 2020. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details.

Years of Good Life Based on Consumption and Health: A Practical Well-Being Metric for Economic Evaluation

Cookson, R. A., Cotton-Barrett, O., Adler, M., Asaria, M. & T, O., Jul 2020, Measuring the Global Burden of Disease: Philosophical Dimensions. Eyal, N., Hurst, S. A., Murray, C. J. L., Schroeder, S. A. & Wikler, D. (eds.). Oxford: Oxford University Press

Research output: Chapter in Book/Report/Conference proceedingChapter

Publication details

Title of host publication Measuring the Global Burden of Disease: Philosophical Dimensions
Date Accepted/In press - Apr 2020
Date Published (current) - Jul 2020
Publisher Oxford: Oxford University Press
Editors N Eyal, S.A. Hurst, C.J.L Murray, S.A. Schroeder, D. Wikler
Original language English
ISBN (Print) 9780190082543


EQUIPOL is supported by the University of York, the Wellcome Trust (Grant No. 205427/Z/16/Z) and the NIHR (SRF-2013-06-015).

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