dceasimR: Distributional Cost-Effectiveness Analysis for Health Technology Assessment

Implements distributional cost-effectiveness analysis (DCEA) as described in Cookson et al. (2020) and methods endorsed by NICE (2025). Provides functions for aggregate and full-form DCEA, inequality measurement, social welfare function evaluation, equity-efficiency impact plane visualisation, and sensitivity analysis.

Main functions

• run_aggregate_dcea — Aggregate DCEA (Love-Koh 2019)

• run_full_dcea — Full-form DCEA with subgroup data

• calc_sii / calc_rii — Inequality indices

• calc_ede — Equally Distributed Equivalent health

• plot_equity_impact_plane — Equity-efficiency impact plane

• get_baseline_health — Preloaded baseline distributions #'

Key references

Cookson R, Griffin S, Norheim OF, Culyer AJ (2020). Distributional Cost-Effectiveness Analysis. Oxford University Press. Oxford University Press (ISBN:9780198838197).

Love-Koh J, Asaria M, Cookson R, Griffin S (2019). The Social Distribution of Health: Estimating Quality-Adjusted Life Expectancy in England. Value in Health 22(5): 518-526. doi:10.1016/j.jval.2018.10.007

Asaria M, Griffin S, Cookson R (2016). Distributional Cost-Effectiveness Analysis: A Tutorial. Medical Decision Making 36(1): 8-19. doi:10.1177/0272989X15583266

See also

Useful links:

• https://heorlytics.github.io/dceasimR/

• Report bugs at https://github.com/heorlytics/dceasimR/issues

Author

Maintainer: Shubhram Pandey shubhram.pandey@heorlytics.com (ORCID)