This presentation is the property of its rightful owner.
Sponsored Links
1 / 84

Εθνική Σχολή Δημόσιας Υγείας PowerPoint PPT Presentation


  • 103 Views
  • Uploaded on
  • Presentation posted in: General

Εθνική Σχολή Δημόσιας Υγείας. Εισαγωγή στην Οικονομική Αξιολόγηση Dr.   Βασίλειος Φραγκουλάκης, Εθνική Σχολή Δημόσιας Υγείας Ανοικτό Πανεπιστήμιο Κύπρου Αθήνα, 2014. Potential Conflict of Interest ( last 5 years).

Download Presentation

Εθνική Σχολή Δημόσιας Υγείας

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


4160248

Dr. ,

,2014


Potential conflict of interest last 5 years

Potential Conflict of Interest(last 5 years)

( ) - :

  • Genesis Pharma

  • ViforPharma

  • Celgene Ltd

  • Astra eneka

  • Sanofi-Aventis

  • Amgen Hellas

  • Pfizer Hellas

  • MSD

  • NovartisHellas

  • BoehringerIngelheim

  • NovoNirdisk

  • Merck Serono Greece

  • Merck Serono NL

  • Roche Hellas

  • ()


4160248

  • ( )


4160248

.

;


4160248

,

www.youthforhumanrights.org.

Human Right #3

he right to life

Human Right #22

SocialSecurity

December 10, 1948, Universal Declaration of Human Rights, United Nations


4160248


4160248

,


4160248

,


4160248

  • / /A


4160248


4160248


4160248

Prevalence of Chronic Disease Rate Through 2030

As the baby boomers age, the number of people living with chronic conditions will grow dramatically.

Sources: 1S. Wu and A. Green, Projection of Chronic Illness Prevalence and Cost Inflation, Rand Corporation, 2000; 2G. Anderson, "Chronic Conditions: Making the Case for Ongoing Care," John Hopkins University, 2007.


4160248

Average Yearly Per Capita Health Care Spending for Persons with Chronic Diseases

Number of Chronic Conditions

Source: G. Anderson, analysis of the 2004 MEPS (prepared for PhRMA


4160248


4160248

% of population with specified chronic condition

Hypertension

(65 million people)

Diabetes

(20 million people)

Hyperlipidemia

(75 million people)

Source: PhRMA analysis of CDC, National Health and Nutrition Examination Survey 20032004.


4160248


4160248


4160248

Source: Eurobarometer Survey, Autumn 2008


4160248

:H !!

Eurobarometer Study 2008


4160248

Source: Eurobarometer Survey, Autumn 2008


Trends in health care expenditure

Trends in health care expenditure


4160248


4160248

Less Is More!!!!

Vol. 170 No. 9, May 10, 2010

How Less Health Care Can Result in Better Health

Deborah Grady, MD, MPH; Rita F. Redberg, MD, MSc, Editor

Arch Intern Med.2010;170(9):749-750.

Author Affiliations: Department of Medicine (Dr Grady) and School of Medicine (Dr Redberg), University of California, San Francisco, and General Internal Medicine Section, San Francisco Veterans Affairs Medical Center (Dr Grady), San Francisco.

  • ntidepressants

  • Treating asymptomatic women with postmenopausal hormone therapy


4160248

:


4160248


4160248


4160248

  • ()

  • ( )


4160248

,

( , )

( )

( )

( )


4160248

;

;

;

;

;

, , , ;

;


4160248

( !!)

!!!


4160248

HTA: Health Technology Assessment

  • :

  • H


  • 4160248

    HTA


    4160248


    4160248


    4160248


    4160248

    Evidence Based Medicine

    ;

    ;

    , , ;


    4160248

    Evidence based health economics

    ;

    ;

    , , ;

    +

    -


    4160248

    ( )

    :

    Safety

    Efficacy

    Quality

    4. Affordability


    4160248

    • (cost minimisation)

    • - (cost effectiveness)

    • - (cost utility) QALY

    • A (cost benefit)

    • (budget impact)


    4160248

    Direct Costs

    Indirect Costs

    Intangible Costs


    4160248


    4160248

    • (Cost Minimisation Analysis)

    $AVE

    : ,


    4160248

    Cost-minimization


    4160248


    4160248

    Cost-minimization


    4160248

    O


    4160248


    4160248


    4160248


    4160248


    4160248

    2. (Cost Effectiveness Analysis)

    • Is the incremental cost of treatment X, compared to treatment Y, worth the additional benefits it provides? :

      • (cost)

      • (effect)


    4160248

    • HbA1c

    • Blood Pressure Reduction

    • (O )


    4160248


    4160248

    2. (Cost Effectiveness Analysis)

    ( )

    -

    -

    -

    -

    B

    -

    -

    B

    -

    -

    .C.E.R = ---------------------------------- = / (ICER=C/E)

    -

    2. =

    3. >CER, cost-effective


    4160248

    2. (Cost Effectiveness Analysis)

    • ICER

    • :

    • ICER= C/E ICER= (3.000-2.000)/(5-4)= 1,000 LY (Life Year)

    • >CER, cost-effective


    4160248

    :


    4160248

    Cost Effectiveness Analysis

    +Cost

    Reject

    Reject

    Accept

    -Effect

    +Effect

    Reject

    Accept

    Accept

    -Cost


    4160248

    ()?


    4160248

    Source: Devlin and Parkin. Health Economics 2004; 13: 437-452.


    4160248

    , .

    :

    .

    : Drummond F. Michael, 2008

    Presentation at a Forum in Athens, March 28,2008


    4160248

    -

    • Cost-utility analysis (CUA):

      • CEA( )

      • :


    4160248

    : , ,

    100% ?

    0% ?


    4160248

    3.

    (Cost Utility Analysis)

    QALYs: quality adjusted life years,

    • T QALY health outcomes

    • (quality gains) (quantity gains)

    • QALY 0-1, 0= 1=

    • QALY , EuroQoL-5D


    4160248

    -

    ICUR QALY

    :

    ICUR=(3.000-2.000)/(2,5-2.4)= 10.000 QALY


    4160248

    -

    • - ( )

    • (visual analogue scale)

      • H

      • ,


    4160248

    -

    • (time trade-off)

      • ( )

      • , ( ) /


    4160248

    - . .


    4160248

    • :

    • ) - policy-maker

    • ) spreadsheet ( guidelines)

    • ) ICER , budget holder 227


    4160248

    • -

    • ()


    4160248

    .


    4160248

    ,, .

    , .

    , .

    , ( ).


    Vfragoulakis@esdy edu gr

    [email protected]


  • Login