Cost-Effectiveness of health programs

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Cost-Effectiveness of health programs
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//24.281.157.27/sihp/defaut.asp?siteds
hepard http//ihp.brandeis.edu/shepard E-mail
Shepard_at_Brandeis.edu   Brandeis University Nov.
9, 2000
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Practical information

• Teaching assistant
• Jsuaya_at_Brandeis.edu
• Administrative assistant
• Linda Purrini, Next to library in Heller
• 781-736-3930
• Purrini_at_Brandeis.edu
• Cost of packet (including diskette) 4.50

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Overview by Session

1. Principles
2. Measuring effectiveness
3. Applications
4. Policy uses

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Key book

• Gold, Marthe R. et al. Chapter 6 Estimating
  Cost in Cost-Effectiveness Analysis,
  Cost-Effectiveness in Health and Medicine.
  Oxford University Press, New York, 1996,
  pp.176-209.
• (Reports the findings of the 1993 U.S. Panel on
  Cost-Effectiveness Analysis.)

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Key articles - 1

• Russell L.B., Gold, M.R., Siegel J.E., Daniels,
  N., and Weinstein, M.C. The Role of
  Cost-Effectiveness Analysis in Health and
  Medicine. JAMA 1996 2761172-1177.
• (This article provides an essential overview of
  cost-effectiveness analysis, uses, advantages and
  disadvantages, the background of the 1993 U.S.
  Panel on Cost-Effectiveness Analysis, the
  reference case, and the societal perspective.)

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(No Transcript)
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Key articles - 2

• Weinstein, M.C., Siegel J.E., Gold, M.R., Kamlet,
  M.S., and Russell L.B. The Recommendations of
  the Panel of Cost-Effectiveness Analysis in
  Health and Medicine. JAMA 1996 2761253-1258.
• (This article presents the background, issues,
  considerations, and final recommendations of the
  1993 U.S. Panel on Cost-Effectiveness Analysis
  for the reference case analysis.)

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(No Transcript)
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Key articles - 3

• Siegel, J.E., Weinstein, M.C., Russell, L.B., and
  Gold, M. R. Recommendations for Reporting
  Cost-Effectiveness Analyses. JAMA 1996
  2761339-1441.
• (This article discusses clear and standardized
  ways of reporting the results of
  cost-effectiveness analyses, from the 1993 U.S.
  Panel on Cost-Effectiveness Analysis, the
  reference case, and the societal perspective.)

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Cost-effectiveness ratio

• Numerator net use of health resources
• Denominator net improvement in QALYs

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Standard reference case

• Standard set of assumptions for consistent
  analyses
• Comparator is the status quo
• Uses a discount rate of 3