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Methods of Economic Evaluation: What are the Ethical Implications for Healthy Public Policy?
 1,5 MB

An Introduction to the Ethical Implications of Economic Evaluations for Healthy Public Policy
 645 K

Advancing Population and Public Health Economics: Workshop Proceedings.
A collaboration between CIHR-IPPH, PHAC, NCCPH and CPHI-CIHI. On the site of the National Collaborating Centres for Public Health (NCCPH). 288 K.

Investing in prevention : The economic perspective. On the site of the Public Health Agency of Canada.

Advancing Population and Public Health Economics: Annotated Bibliography. On the site of the Canadian Institutes for Health Research - Institute of Population and Public Health (CIHR-IPPH).

Centre for Health Economics and Policy Analysis (CHEPA). On the site of CHEPA, based at McMaster University, Hamilton, Ontario. 

CHOosing Interventions that are Cost Effective (WHO-CHOICE). Guides to cost-effectiveness analysis on the site of the World Health Organization.

Centre for Health Economics Research and Evaluation (CHERE). Links to global resources on the site of CHERE at the University of Technology Sydney (Aus.)

College des Économistes de la Santé (CES). Links to dozens of global resources in health economics, on the site of CES (Paris).


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Since our last update, we have focused our efforts on exploring the ethical issues underlying the use of economic evaluations in public health, and more specifically when they are used to evaluate healthy public policies.

Photo: Ian Sane. Source:

In October 2013, we published our first briefing note introducing the ethical issues relating to the main methods of economic evaluation.

This paper, produced in collaboration with Michal Rozworski, presents the main methods used in economic evaluations and looks at the potential ethical implications relating to their underlying utilitarian and individualistic assumptions.

The paper concludes with a series of questions that public health actors can ask in order to draw out the potential ethical implications raised by particular economic evaluations.
For more information, click here.

We will build upon this document by publishing a second briefing note in the spring of 2014. This one will explore in greater depth the strengths, weaknesses and potential ethical implications specific to each of the main methods of economic evaluation: cost analysis, cost-benefit analysis, cost-effectiveness analysis, cost-utility analysis, and cost-consequence analysis.

Over the course of 2014, we will be offering workshops and a webinar that will introduce the material from these two briefing notes and help participants to use it in practice by applying the ideas to practical cases from public health. The first workshop will take place at The Ontario Public Health Convention (TOPHC), in Toronto from March 31 to April 2, 2014.
For more information, click here.

If you would like to learn more about this project, please contact Olivier Bellefleur. We would also like to hear your suggestions or your ideas for further work that we could do in the area.

Photo: Plastered against the wall
Photo credit
: Ian Sane. Source:

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Ethical Issues Arising from Economic Evaluations in Public Health
Economic evaluations and healthy public policy.
The production of the NCCHPP website has been made possible through a financial contribution from the Public Health Agency of Canada.