The evaluation of health policies through dynamic microsimulation methods
نویسندگان
چکیده
This paper presents an overview of microsimulation as a method to evaluate health and health care policies and interventions. After presenting a brief survey of microsimulation models and applications we describe the main features of the approach and how these are implemented in practice. We pay particular attention to the innovative features of dynamic microsimulation as a method of ex-ante policy evaluation. The final section presents a critical overview of the most recent health-dedicated dynamic microsimulation models including POHEM and FEM, two of the most comprehensive dynamic microsimulation models for health. We describe how these models are used to simulate lifecycle health trajectories and associated health care costs under competing policy scenarios to illustrate the power of microsimulation as a valid and relevant tool for policy evaluation.
منابع مشابه
Social Modelling and Public Policy: What is microsimulation modelling and how is it being used?
The aim of this paper is to provide an overview of social modelling, and in particular a general introduction to and insight into the potential role and usefulness of microsimulation in analysing public policy. Despite having made a major contribution to the development of tax and cash transfer policies, there are many important areas of government policy to which microsimulation has not yet be...
متن کاملAddressing Health Equity Through Action on the Social Determinants of Health: A Global Review of Policy Outcome Evaluation Methods
Background Epidemiological evidence on the social determinants of health inequity is well-advanced, but considerably less attention has been given to evaluating the impact of public policies addressing those social determinants. Methodological challenges to produce evidence on policy outcomes present a significant barrier to mobilising policy actions for health equities. This review aims to exa...
متن کاملReducing childhood obesity through U.S. federal policy: a microsimulation analysis.
BACKGROUND Childhood obesity prevalence remains high in the U.S., especially among racial/ethnic minorities and low-income populations. Federal policy is important in improving public health given its broad reach. Information is needed about federal policies that could reduce childhood obesity rates and by how much. PURPOSE To estimate the impact of three federal policies on childhood obesity...
متن کاملDeveloping a Framework for a Program Theory-Based Approach to Evaluating Policy Processes and Outcomes: Health in All Policies in South Australia
Background The importance of evaluating policy processes to achieve health equity is well recognised but such evaluation encounters methodological, theoretical and political challenges. This paper describes how a program theorybased evaluation framework can be developed and tested, using the example of an evaluation of the South Australian Health in All Policies (HiAP) initiative. Methods A f...
متن کاملDynamic Microsimulation of Health Care Demand, Health Care Finance and the Economic Impact of Health Behavior Part II: Survey and Review
Interim Reports on work of the International Institute for Applied Systems Analysis receive only limited review. Views or opinions expressed herein do not necessarily represent those of the Institute, its National Member Organizations, or other organizations supporting the work. Abstract This report is the second part of an investigation of the potential of dynamic microsimulation for modeling ...
متن کامل