Murdoch University Research Repository

Welcome to the Murdoch University Research Repository

The Murdoch University Research Repository is an open access digital collection of research
created by Murdoch University staff, researchers and postgraduate students.

Learn more

Equity and efficiency preferences of health policy makers in China—a stated preference analysis

Paolucci, F., Mentzakis, E., Defechereux, T. and Niessen, L.W. (2015) Equity and efficiency preferences of health policy makers in China—a stated preference analysis. Health Policy and Planning, 30 (8). pp. 1059-1066.

PDF - Authors' Version
Download (276kB)
Link to Published Version:
*Subscription may be required


Background Macroeconomic growth in China enables significant progress in health care and public health. It faces difficult choices regarding access, quality and affordability, while dealing with the increasing burden of chronic diseases. Policymakers are pressured to make complex decisions while implementing health strategies. This study shows how this process could be structured and reports the specific equity and efficiency preferences among Chinese policymakers. Methods In total, 78 regional, provincial and national level policymakers with considerable experience participated in a discrete choice experiment, weighting the relative importance of six policy attributes describing equity and efficiency. Results from a conditional logistic model are presented for the six criteria, measuring the associated weights. Observed and unobserved heterogeneities were incorporated and tested in the model. Findings are used to give an example of ranking health interventions in relation to the present disease burden in China. Results In general, respondents showed strong preference for efficiency criteria i.e. total beneficiaries and cost-effectiveness as the most important attributes in decision making over equity criteria. Hence, priority interventions would be those conditions that are most prevalent in the country and cost least per health gain. Conclusion Although efficiency criteria override equity ones, major health threats in China would be targeted. Multicriteria decision analysis makes explicit important trade-offs between efficiency and equity, leading to explicit, transparent and rational policy making.

Item Type: Journal Article
Murdoch Affiliation(s): Sir Walter Murdoch School of Public Policy and International Affairs
Publisher: Oxford University Pres
Copyright: © 2014 Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.
Item Control Page Item Control Page


Downloads per month over past year