Marginalised communities

Within Yorkshire and Humber there are several communities who access health care in a different way from the general population. For example prisoners and travellers are two groups who are likely to have different access to health professionals compared with the general population. While there are studies of cost-effectiveness in these populations, there is potential for more work, both applied and methodological, in this area. 

Francesco’s PhD study title Framework for a cross-sectoral economic evaluation of public health Interventions  defined appropriate methods for the economic evaluation of public health interventions. 

He developed and implemented an analytical framework that extends a ‘traditional’ cost-effectiveness analysis, and allows long-term costs and effects, and health equity concerns in the analysis. The framework was used to  evaluate a brief alcohol intervention to reduce alcohol consumption among offenders. The analysis was conducted from an integrated perspective that includes both health care and criminal justice costs and outcomes, and investigated the impact of alternative health equity concerns.