CostEffectiveness of health programs April 17, 2000

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Cost-Effectiveness of health programsApril 17,
2000
Presented by   Donald S. Shepard, Ph.D. Schneider
Institute for Health Policy Heller School, Room
122A, Mail Stop 035 Brandeis University Waltham,
MA 02454-9110 Tel [phone] Fax
781-736-3965
Web http//ihp.brandeis.edu/shepard E-mail
Shepard_at_Brandeis.edu   Brandeis University April
10, 2000
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Applications of cost-effectiveness analysis

• Shows extension of effectiveness studies
• Shows uses of models

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Next Class

• Monday, May 1, 2000
• Start at 630 pm (half hour later)
• Continue to 930 pm (half hour later)

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Cost-effectiveness ratio

• CE (?CRx - ?CCHD ?CNonCHD)
• ?LE
• Where variables are expected lifetime values
• CRx cost of a regimen of drug therapy
• CCHD savings in medical care costs from
  reducing CHD events
• CNonCHD cost of treating non-CHD events over
  additional years of life
• LE increase in life expectancy.

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Cost-effectiveness of lovastatin

• Hamilton VH et al.
• JAMA 1995 2731032-38

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Table 4, age 50, high risk

• Man Canadian 17, 231 / year of life saved
• Woman Canadian 37,453 / year of life saved
• Man US 11 000 per year saved
• Woman US 25 000 per year saved