Economic Impacts of DBN

healthcare costs, educational insufficiencies and lower productivity

• can lead to health limitations which reduces contribution to the economy
• overnutrition can lead to NCD leading to a rise in healthcare costs and mortality and reduced contribution to the economy.
• overnutrition can result in poor school attendance, leading to poor educational attainment leading to a lower contribution to the economy

• lower educational attainment leading to loss in earning potential
• rise in pregnancy complications leading to a rise in healthcare costs
• poor cognitive development leading to late school entry/ early drop out and lower educational attainment which results in a lower contribution to the economy

<ol> <li>DBN covers both under and overnutritio so its hard to determine what the outcome measure should be. 2.both obesity and undernutrition are evaluated differently and there's no combination in evaluation</li> <li>separate economic evaluations cannot account for effects which could support or diminish the effectiveness of an intervention in the presence of obesity and undernutrition together.</li> <li>not a lot of models which look at the economic impact of different forms of nutrition exist</li> <li>there's limited data that looks at different forms of nutrition within the same population</li> </ol> Signup and view all the answers

<p>decision models are a representation of the real world that compares interventions but considers uncertainty. data can be collected from clinical trial or observational studies or large patient registries like the NHS reference costs. outcome data such as quality of life can be collected from individual studies</p> Signup and view all the answers

<p>decision tree - used to model non-chronic disease markov model - used to model chronic disease</p> Signup and view all the answers

<ul> <li>allows for comparison of many models where direct evidence doesn't exist</li> <li>can use multiple sources of evidence for decision making</li> <li>allows incorporation of uncertainty into decision making</li> </ul> Signup and view all the answers

<p>rollback calculation: the expected value of each intervention = survival probability/costs x transition probability.</p> Signup and view all the answers

<p>cost 1-cost 2 / effect 1-effect 2</p> Signup and view all the answers

<p>checklists: QHES and philips checklist</p> Signup and view all the answers