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Questions and Answers
Which of the following is NOT a key element in economic studies?
Which of the following is NOT a key element in economic studies?
- Choosing between alternatives
- Maximizing outcomes (correct)
- Decision making within limited budgets
- Assessment of costs and consequences
What does cost-effectiveness primarily examine?
What does cost-effectiveness primarily examine?
- Total economic burden of disease
- Cost and profits measured in monetary terms
- Quality of life adjustments in monetary terms
- Outcomes measured in natural units (correct)
What does a cost utility analysis measure?
What does a cost utility analysis measure?
- Cash flow from healthcare programs
- Total expenses of healthcare services
- Outcome in Quality-Adjusted Life Years (QALYs) (correct)
- Financial savings from reduced medical costs
Which type of cost is associated with loss of productivity?
Which type of cost is associated with loss of productivity?
Which method is used in cost of illness studies to calculate the lifetime cost of new cases?
Which method is used in cost of illness studies to calculate the lifetime cost of new cases?
What does cost minimization assume about outcomes?
What does cost minimization assume about outcomes?
Which of the following is an example of an indirect cost?
Which of the following is an example of an indirect cost?
What type of outcome focuses on the availability of healthcare providers?
What type of outcome focuses on the availability of healthcare providers?
Which of the following perspectives in economic analysis focuses on out-of-pocket costs and lost wages?
Which of the following perspectives in economic analysis focuses on out-of-pocket costs and lost wages?
Which accounting principle emphasizes that price does not always reflect cost?
Which accounting principle emphasizes that price does not always reflect cost?
What is the primary purpose of Cost Minimization Analysis?
What is the primary purpose of Cost Minimization Analysis?
Which component is NOT part of the ECHO model in outcome assessment?
Which component is NOT part of the ECHO model in outcome assessment?
Which types of outcomes focus primarily on patient safety and treatment efficacy?
Which types of outcomes focus primarily on patient safety and treatment efficacy?
In Cost Effectiveness Analysis, what natural units are usually measured?
In Cost Effectiveness Analysis, what natural units are usually measured?
What is a major limitation of Cost Minimization Analysis?
What is a major limitation of Cost Minimization Analysis?
Which of the following correctly defines efficiency within the context of economic outcomes?
Which of the following correctly defines efficiency within the context of economic outcomes?
What does the utility scale range from?
What does the utility scale range from?
Which utility measurement method is considered the GOLD STANDARD?
Which utility measurement method is considered the GOLD STANDARD?
What limitation does the Rating Scale method have?
What limitation does the Rating Scale method have?
In the Time Trade-Off method, which scenario exemplifies the decision-making process?
In the Time Trade-Off method, which scenario exemplifies the decision-making process?
When is Quality of Life (QOL) information most useful?
When is Quality of Life (QOL) information most useful?
What is one of the challenges associated with Cost Benefit Analysis (CBA)?
What is one of the challenges associated with Cost Benefit Analysis (CBA)?
What is a critical requirement for conducting a Cost Benefit Analysis?
What is a critical requirement for conducting a Cost Benefit Analysis?
Which of the following is NOT an alternative option in program consideration for CBA?
Which of the following is NOT an alternative option in program consideration for CBA?
What indicates that an intervention is cost-effective in terms of net monetary benefit?
What indicates that an intervention is cost-effective in terms of net monetary benefit?
Which treatment option provided the highest number of symptom-free days for adult asthma patients?
Which treatment option provided the highest number of symptom-free days for adult asthma patients?
What is one of the limitations of cost-effectiveness analysis (CEA)?
What is one of the limitations of cost-effectiveness analysis (CEA)?
In cost-utility analysis, what is emphasized over disease metrics?
In cost-utility analysis, what is emphasized over disease metrics?
Which of the following is categorized as a morbidity indicator?
Which of the following is categorized as a morbidity indicator?
What is a primary advantage of cost-utility analysis?
What is a primary advantage of cost-utility analysis?
What is indicated by a positive regression coefficient in the net benefit regression framework?
What is indicated by a positive regression coefficient in the net benefit regression framework?
What is an advantage of measuring health benefits based on economic productivity?
What is an advantage of measuring health benefits based on economic productivity?
What challenge is commonly faced when determining utility or preference weight values in cost-utility analysis?
What challenge is commonly faced when determining utility or preference weight values in cost-utility analysis?
Which of the following is a disadvantage of using economic productivity for measuring health benefits?
Which of the following is a disadvantage of using economic productivity for measuring health benefits?
Which method is utilized to calculate Net Benefit in a cost-benefit analysis?
Which method is utilized to calculate Net Benefit in a cost-benefit analysis?
In which situation would the Benefit-to-Cost Ratio be considered beneficial?
In which situation would the Benefit-to-Cost Ratio be considered beneficial?
Which of the following is a method used in the willingness to pay approach?
Which of the following is a method used in the willingness to pay approach?
What is a potential issue with the hypothetical nature of responses in willingness to pay methods?
What is a potential issue with the hypothetical nature of responses in willingness to pay methods?
What is the Internal Rate of Return (IRR) used for in a cost-benefit analysis?
What is the Internal Rate of Return (IRR) used for in a cost-benefit analysis?
How is the Benefit-to-Cost Ratio determined?
How is the Benefit-to-Cost Ratio determined?
Which scenario classifies a treatment as cost-effective when it is more effective but more costly?
Which scenario classifies a treatment as cost-effective when it is more effective but more costly?
What is a primary limitation of small randomized trials?
What is a primary limitation of small randomized trials?
What do cost-effectiveness ratios help determine in healthcare?
What do cost-effectiveness ratios help determine in healthcare?
Which type of study is limited in establishing causal relationships but reflects real-world practice outcomes?
Which type of study is limited in establishing causal relationships but reflects real-world practice outcomes?
What is a noted problem with the incremental cost-effectiveness ratio (ICER)?
What is a noted problem with the incremental cost-effectiveness ratio (ICER)?
What should cost-effectiveness metrics be compared against?
What should cost-effectiveness metrics be compared against?
Which characteristic is typical of large randomized trials?
Which characteristic is typical of large randomized trials?
What is one of the sources of effectiveness data that may reflect real-world outcomes but is often limited in establishing causality?
What is one of the sources of effectiveness data that may reflect real-world outcomes but is often limited in establishing causality?
What is a disadvantage of using a general health-related quality of life measure?
What is a disadvantage of using a general health-related quality of life measure?
Which of the following is an advantage of disease-specific measures?
Which of the following is an advantage of disease-specific measures?
What is a key feature of Markov modeling?
What is a key feature of Markov modeling?
Which aspect limits the practical application of Markov modeling for individual patient treatment?
Which aspect limits the practical application of Markov modeling for individual patient treatment?
What is a disadvantage of using general health measures in specific populations?
What is a disadvantage of using general health measures in specific populations?
Which of the following best describes economic outcomes in healthcare?
Which of the following best describes economic outcomes in healthcare?
What is one limitation of Cost Minimization Analysis?
What is one limitation of Cost Minimization Analysis?
In the ECHO model, which of the following components is NOT integrated?
In the ECHO model, which of the following components is NOT integrated?
Which type of outcome involves the accuracy of prescription labels?
Which type of outcome involves the accuracy of prescription labels?
Which perspective in economic analysis emphasizes an assessment of all medical and non-medical costs?
Which perspective in economic analysis emphasizes an assessment of all medical and non-medical costs?
What is a primary focus of cost-effectiveness analysis in healthcare?
What is a primary focus of cost-effectiveness analysis in healthcare?
What does the term 'efficiency' refer to in the context of economic outcomes?
What does the term 'efficiency' refer to in the context of economic outcomes?
What defines clinical outcomes in the assessment of healthcare interventions?
What defines clinical outcomes in the assessment of healthcare interventions?
What does the utility scale measure in terms of Quality of Life (QOL)?
What does the utility scale measure in terms of Quality of Life (QOL)?
Which utility measurement method compares a certain disease state for a specific time versus a shorter period of perfect health?
Which utility measurement method compares a certain disease state for a specific time versus a shorter period of perfect health?
What limitation is associated with the Rating Scale method of utility measurement?
What limitation is associated with the Rating Scale method of utility measurement?
In which scenario is Quality of Life (QOL) information most useful?
In which scenario is Quality of Life (QOL) information most useful?
Which element poses a challenge in conducting a Cost Benefit Analysis (CBA)?
Which element poses a challenge in conducting a Cost Benefit Analysis (CBA)?
Which method is considered the GOLD STANDARD in utility measurement?
Which method is considered the GOLD STANDARD in utility measurement?
What is the key component considered in the alternative options during a Cost Benefit Analysis?
What is the key component considered in the alternative options during a Cost Benefit Analysis?
What does the Time Trade-Off method illustrate?
What does the Time Trade-Off method illustrate?
What does a positive net monetary benefit (NMB) indicate about an intervention?
What does a positive net monetary benefit (NMB) indicate about an intervention?
Which of the following limitations is associated with cost-effectiveness analysis (CEA)?
Which of the following limitations is associated with cost-effectiveness analysis (CEA)?
What is one advantage of cost-utility analysis over traditional cost-effectiveness analysis?
What is one advantage of cost-utility analysis over traditional cost-effectiveness analysis?
In the context of cost-utility analysis, what do the '5 D's' primarily represent?
In the context of cost-utility analysis, what do the '5 D's' primarily represent?
Which of the following describes a situation where incremental cost-effectiveness ratios (ICER) might be misleading?
Which of the following describes a situation where incremental cost-effectiveness ratios (ICER) might be misleading?
What is a key component in conducting a sensitivity analysis in cost-effectiveness analysis?
What is a key component in conducting a sensitivity analysis in cost-effectiveness analysis?
Why is quality of life (QOL) an important measure in cost-utility analysis?
Why is quality of life (QOL) an important measure in cost-utility analysis?
What type of node in a decision tree represents points where decisions are made?
What type of node in a decision tree represents points where decisions are made?
What does a cost-effectiveness analysis typically fail to account for?
What does a cost-effectiveness analysis typically fail to account for?
Which country was the first to publish mandatory evaluation guidelines in pharmacoeconomics?
Which country was the first to publish mandatory evaluation guidelines in pharmacoeconomics?
What does the benefit-to-cost ratio of 6:1 indicate?
What does the benefit-to-cost ratio of 6:1 indicate?
What is a characteristic feature of a chance node in a decision tree?
What is a characteristic feature of a chance node in a decision tree?
Which organization oversees common drug reviews in Canada?
Which organization oversees common drug reviews in Canada?
What does health-related quality of life (HRQOL) focus on?
What does health-related quality of life (HRQOL) focus on?
What advantage does using systematic decision analysis provide?
What advantage does using systematic decision analysis provide?
What type of measures do non-utility/non-preference measures utilize?
What type of measures do non-utility/non-preference measures utilize?
Which of the following represents a disadvantage of using Willingness to Pay (WTP) as a valuation method?
Which of the following represents a disadvantage of using Willingness to Pay (WTP) as a valuation method?
What defines an intervention as beneficial according to the Net Benefit method?
What defines an intervention as beneficial according to the Net Benefit method?
In the Benefit-to-Cost Ratio, what condition indicates a beneficial program?
In the Benefit-to-Cost Ratio, what condition indicates a beneficial program?
Which of the following options is NOT included as a bidding vehicle in the WTP method?
Which of the following options is NOT included as a bidding vehicle in the WTP method?
What is a significant drawback of valuing health benefits solely based on economic productivity?
What is a significant drawback of valuing health benefits solely based on economic productivity?
Which calculation method involves comparing the present value of benefits to costs?
Which calculation method involves comparing the present value of benefits to costs?
Which method uses contingent valuation to measure both indirect and intangible aspects of health benefits?
Which method uses contingent valuation to measure both indirect and intangible aspects of health benefits?
Flashcards
Cost Minimization (Economics)
Cost Minimization (Economics)
An economic evaluation method that focuses on the lowest monetary cost, assuming equivalent outcomes for different treatments or interventions.
Cost Benefit Analysis (Economics)
Cost Benefit Analysis (Economics)
A method that measures both costs and outcomes in monetary terms, looking at the net monetary gain. It estimates the total value of potential outcomes and compares it with the investments.
Cost Effectiveness Analysis (Economics)
Cost Effectiveness Analysis (Economics)
An economic evaluation method that measures outcomes in natural units (e.g., lives saved, symptoms reduced), and examines the cost-effectiveness ratio.
Cost Utility Analysis (Economics)
Cost Utility Analysis (Economics)
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Direct Medical Costs
Direct Medical Costs
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Indirect Costs (Healthcare)
Indirect Costs (Healthcare)
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Cost of Illness Studies
Cost of Illness Studies
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Economic Evaluation (Healthcare)
Economic Evaluation (Healthcare)
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Structure Outcomes
Structure Outcomes
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Process Outcomes
Process Outcomes
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Clinical Outcomes
Clinical Outcomes
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Economic Outcomes
Economic Outcomes
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Cost Minimization Analysis
Cost Minimization Analysis
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Cost-Effectiveness Analysis
Cost-Effectiveness Analysis
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Efficiency (in healthcare)
Efficiency (in healthcare)
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Efficacy
Efficacy
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Cost-effective strategy
Cost-effective strategy
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Large Randomized Trials
Large Randomized Trials
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Cost Effectiveness Ratios
Cost Effectiveness Ratios
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Incremental Cost-Effectiveness Ratio (ICER)
Incremental Cost-Effectiveness Ratio (ICER)
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Threshold Consideration
Threshold Consideration
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Observation Studies
Observation Studies
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Net Benefit Approach
Net Benefit Approach
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Small Randomized Trials
Small Randomized Trials
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Net Monetary Benefit (NMB)
Net Monetary Benefit (NMB)
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Net Health Benefit (NHB)
Net Health Benefit (NHB)
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Cost-Effective Intervention
Cost-Effective Intervention
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Quality of Life (CEA Limitation)
Quality of Life (CEA Limitation)
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Sensitivity Analysis (CEA)
Sensitivity Analysis (CEA)
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Net Benefit Regression Framework
Net Benefit Regression Framework
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Positive Regression Coefficient
Positive Regression Coefficient
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Cost-Utility Analysis (CUA)
Cost-Utility Analysis (CUA)
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Quality-Adjusted Life Year (QALY)
Quality-Adjusted Life Year (QALY)
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Utility Scale
Utility Scale
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Standard Gamble
Standard Gamble
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Time Trade-Off
Time Trade-Off
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Discrete Choice Experiment
Discrete Choice Experiment
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Cost-Benefit Analysis (CBA)
Cost-Benefit Analysis (CBA)
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Benefit Valuation Methods
Benefit Valuation Methods
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Human Capital Approach
Human Capital Approach
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Productivity-Based Health Value
Productivity-Based Health Value
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WTP: Willingness to Pay
WTP: Willingness to Pay
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Contingent Valuation
Contingent Valuation
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Open-Ended WTP Questions
Open-Ended WTP Questions
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Close-Ended WTP Questions
Close-Ended WTP Questions
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Net Benefit/Cost (NB)
Net Benefit/Cost (NB)
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Benefit-to-Cost Ratio
Benefit-to-Cost Ratio
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Internal Rate of Return (IRR)
Internal Rate of Return (IRR)
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Case-mix group
Case-mix group
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Micro-costing
Micro-costing
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Outcome Assessment
Outcome Assessment
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ECHO Model
ECHO Model
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Wage Rates
Wage Rates
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Missed Time Due to Illness
Missed Time Due to Illness
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Willingness To Pay (WTP)
Willingness To Pay (WTP)
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QALY
QALY
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Decision Analysis
Decision Analysis
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Decision Node
Decision Node
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Chance Node
Chance Node
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Terminal Node
Terminal Node
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Pharmacoeconomic Guidelines
Pharmacoeconomic Guidelines
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HRQOL (Health-Related Quality of Life)
HRQOL (Health-Related Quality of Life)
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Non-utility/Non-preference Measures
Non-utility/Non-preference Measures
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Generic HRQOL Advantages/Disadvantages (Exam)
Generic HRQOL Advantages/Disadvantages (Exam)
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HRQOL Advantages
HRQOL Advantages
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HRQOL Disadvantages
HRQOL Disadvantages
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Disease-Specific HRQOL Advantages
Disease-Specific HRQOL Advantages
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Disease-Specific HRQOL Disadvantages
Disease-Specific HRQOL Disadvantages
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Markov Modeling: Key Feature
Markov Modeling: Key Feature
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Study Notes
Fundamentals of Economics in Healthcare
- Economic studies allocate limited resources among alternative uses
- Three key elements: Choosing between alternatives, assessing costs and consequences, and decision-making within budget constraints
- Pharmacoeconomics evaluates clinical, economic, and humanistic aspects of pharmaceutical products, healthcare services, and programs
- Types of economic evaluations include cost minimization (assumes equivalent outcomes, focuses on lowest monetary cost), cost benefit (measures costs and outcomes in monetary terms, focuses on net monetary gain), cost effectiveness (measures outcomes in natural units, examines cost-effectiveness ratio), and cost utility (incorporates quality of life, measures outcome in QALYs)
- Cost analysis studies total economic burden of diseases using incidence-based (calculates lifetime cost of new cases) and prevalence-based (estimates total cost in a given year) methods
- Types of costs include direct medical (physician fees, diagnostic, medications), direct non-medical (transportation, specific diet requirements), and indirect costs
Cost Minimization Analysis
- Compares costs of interventions with equivalent outcomes
- Aims to identify the least costly alternative
- Primarily focused on cost efficiency
- Limited application due to requirements for equivalent outcomes
Cost Effectiveness Analysis
- Pharmacoeconomic model measuring outcomes in natural units
- Focuses on achieving objectives at the lowest cost
- A strategy is considered cost-effective under four scenarios: at least as effective at less cost, more effective at the same cost, more effective and more costly, but benefits justify the cost, or less effective but less costly, with cost reductions offsetting effectiveness reduction
- Data for effectiveness comes from sources like large randomized trials, observational studies, and multiple sites for better generalizability
Cost Utility Analysis
- Extends cost-effectiveness analysis by focusing on measuring quality of life outcomes
- Addresses healthcare payers' concerns about value for money in terms of health outcomes, emphasizing patient experience over disease metrics
- Key components include general outcome indicators (Death, Disease, Disability, Discomfort, Dissatisfaction) and mortality vs. morbidity indicators (life vs death, disability, discomfort, dissatisfaction)
Utility Measurement Methods
- Rating scale (simple visual scale, multiple diseases stated, and questionnaire-based)
- Standard Gamble (evaluates a treatment with possibilities of normal health or death compared with a certain chronic disease state)
- Time Trade Off (compares certain diseases with specific time periods versus shorter periods of perfect health)
- Discrete Choice Experiment (uses ordinal choice-based approach to understand how respondents choose between different health scenarios)
Decision Analysis
- Uses decision trees to model options
- Includes decision nodes (points for decisions), chance nodes (probabilities determine outcomes), and terminal nodes (outcomes)
- Systematic method for comparing decision options
- Utilizes probabilities from clinical literature to model treatment options
Pharmacoeconomic Guidelines by Country
- Many countries have guidelines for pharmacoeconomic evaluations. For instance, Australia publishes mandatory evaluation guidelines, overseen by the Pharmaceuticals Benefit Advisory Committee. These guidelines require pharmaceutical companies to submit pharmacoeconomic data. Canada has no universal prescription coverage mandate, but provinces determine eligibility and coverage rules. Furthermore, the Canadian Agency for Drugs and Technology (CADTH) oversees common drug reviews. The United Kingdom utilizes guidelines too.
Health-Related Quality of Life (HRQOL)
- HRQOL measures are more specific than general quality of life and focus on functional effects of illness or therapy from a patient perspective
- Measures include non-utility/non-preference measures (based on patient self-assessment, health status assessment surveys, and generic or disease-specific measures)
- Generic measures generally have broad applicability and summarize a range of concepts (can potentially detect unanticipated effects), but they may not be as responsive to changes in health or appropriate for all populations
- Disease-specific measures are often more relevant to particular populations, but are less likely to compare across populations effectively
Markov Modeling
- Analyzes complex outcomes and disease states
- Enables analysis of transitions between health states
- More complex and less transparent than other methods
- Limited by availability of long-term data, potentially not practical for individual patient treatment, and may not consider previous experiences
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Description
Explore the key economic principles that drive decision-making in healthcare. This quiz covers essential topics such as resource allocation, types of economic evaluations, and pharmacoeconomics. Test your understanding of how these concepts apply to healthcare services and products.