1 / 13

Economic evaluation of health programmes

Economic evaluation of health programmes. Department of Epidemiology, Biostatistics and Occupational Health Class no. 3: What to look for in an economic evaluation (continued) + examples Sept 10, 2008. Plan of class. Finish going over checklist for assessing an economic evaluation

dudley
Download Presentation

Economic evaluation of health programmes

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. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Economic evaluation of health programmes Department of Epidemiology, Biostatistics and Occupational Health Class no. 3: What to look for in an economic evaluation (continued) + examples Sept 10, 2008

  2. Plan of class • Finish going over checklist for assessing an economic evaluation • A note on the notion of efficiency • Assess two articles (Hlatky et al., Weisbrod et al.) • Were costs and consequences measured accurately in appropriate physical units?

  3. Were all important and relevant costs and consequences for each alternative identified? • Look at Figure 3.1 • In practice, we usually don’t measure everything, it would take too long. • Easier to justify if we know from other studies that a cost element is likely to be negligible/not related to the intervention. • Let’s work through an example!

  4. Were costs and consequences measured accurately in appropriate physical units? IDENTIFICATION: WHICH KINDS OF COSTS OR CONSEQUENCES WILL WE MEASURE? MEASUREMENT: COUNT THE NUMBER OF EACH KIND …

  5. Were costs and consequences valued credibly? VALUATION: ASSIGN A VALUE (TO OUTCOME; OR ELSE A VALUE IN DOLLARS TO A COST)

  6. Were costs and consequences adjusted for differential timing? • Discount both costs and outcomes

  7. Was an incremental analysis of costs and consequences of alternatives performed?

  8. Was allowance made for uncertainty in the estimates of costs and consequences? • Methodological • Sampling variation • Extrapolation • Generalisability

  9. Did the presentation of study results include all issues of concern to users? • Intelligent interpretation of costs in relation to outcomes? • Comparison with other analysts’ results? • Discussion of generalizability to other settings/other patient groups? • Other potentially important factors, e.g., ethical concerns, distributional consequences? • Discussion of implementation issues?

  10. EFFICIENCY IS THE OUTCOME WORTH PURSUING IN RELATION TO OTHER OUTCOMES, GIVEN RESOURCES REQUIRED? (Allocative efficiency) O2 O3 O1 IS IT THE INTERVENTION THAT ACHIEVES AN OUTCOME USING THE FEWEST RESOURCES? (Productive efficiency) I1 I2 IS AN INTERVENTION DELIVERED WITH AS FEW RESOURCES AS POSSIBLE? (Productive efficiency) I1 I1 ineff

  11. Can you give examples of each type of inefficiency?

  12. Checklist summary (1) • Does the question correspond to the economic evaluation of a health program? • Was a comprehensive description of the alternatives given? • Was the effectiveness of the program or intervention or treatment well established? • Were all important and relevant costs and consequences for each alternative identified? • Were costs and consequences measured accurately in appropriate physical units?

  13. Checklist summary (2) • Were costs and consequences valued credibly? • Were costs and consequences adjusted for differential timing? • Was an incremental analysis of costs and consequences of alternatives performed? • Was allowance made for uncertainty in the estimates of costs and consequences? • Did the presentation of study results include all issues of concern to users?

More Related