Fillable Printable Measuring health improvements for a cost effectiveness analysis

Measuring health improvements for a cost effectiveness analysis

Measuring health improvements for a cost

eectiveness analysis

1. Introduction





          

   health services  

        

        

        

 Counting the Cost

of Eective Health Policy   

          

      !      

        



        

"!

         #

!  $    

  $    

  "      



%        !  



        

&          '

!

2. Summary index measures of

multiple outcomes



          

"        " 

          &

(

&(

& 

)*"

  )        *    

&(      

!      &(  

  "  

!

        +  

&

"





,          

        





    "        

&)

*  &"  

        



"            

        

            

!

        "  

!"    -      &

*          

          



    !  &  

&

            

&

    !"        



            "

"

(&

"



          

      

('

  !      





      #    "  

      

"

        



.    "  !    

        

          

        

      

   '  

&

3. Time trade-o and standard

gamble methods

      '  "  

)*

( 1

zero  (    / 

)*

intermediate

   )  * 

.!"

    -      *

&012

( / 

3

!

Table 1

4

5 6 7

8

5 / 109 1:1

6 109 101 1;1

7 1:1 1;1 1<1

   

  

'

        

)*!

            

          



.!"012)

*      !  

&            

)*

=          (  

 /

          

(

4. Quantifying Gains from a Health

Service Investment

=          !  

(

&

/11

        

  .  !"    

   &   

!:

       /

        "  

)*>



!

7    

          



)*"

(

    >"  !

/

>

4

5 6 7

8

5 /!> 109?: 1:1?:

6 109?: 101?: 1;1?:

7 1:1?:

1:1

1;1?: 1<1?:

8 1

1

(

"

<@1?:A>B2.80 units

."

0.80 units      

 (    

          

 #>:1C1:1B 2

units &>

!        )  *

"(

   /11   B

200 units

5. Investment Cost Eectiveness

calculation

7



  /11        D/1

      "      

"

E

4"    "      !

    

              

    !  "

"        





7

      

 

        =    



      /11    "

      (     >

D/1?>11        

/11B£50,000



7

        "

     

(

 F    "      

        D91"111    



!(

implicit value#



  "          

        



6. Eects which will happen in the

future

  "      "

      (    

!

"        

        

   

(

          

!

            

'(

 " 

3



3

          (

              



    (        

    !  "

        

(     now   

          !



 G



  

   

now 

future"







54H#











NPV

)1(

)(

"



        "  

      F      

            

    &  

(    &    "



"  FC    &

)(*"&

(

/?/A  factor#

 rate""

     

54H(FC

!

      "  54H

nowF"





.          

"

 

        "  "

        







&F

    !        54H

!          

    #          

!          

      F        !  



     

        

    #   

!"F    



&$"



7  "    &  

        

  #       

F

      

!        

        



      !    "

      

F&"

B1

!"



"JK



      

(

        '



8   

=

  !  (      

size"

 value"       

 E



"

(



!"(

( F    >11    

/11(

      @    

(    &  

>I

"BI

"B>2"

  &        (  F

B1#

)02.01(

100

)02.01(

100





NPV

B190.35 health gain units

  (   /11   

    D9>"9I9  D/1  ?

/01I9



  9    C      

(CD91"111

7. Task

L        

 3-6       

#   !

GI)*

>$"

    !      <

    )      

*"<)

      *    

$  

BI2



"

M

8. End note

=          

        





        4

"    "        

          "

 Counting the Cost of Eective

Health Policy"    !    

          



