Hoorcollege 2 Flashcards
maximum number of interventions/strategies that can be considerend as alternatives?
there is no maximum
opportunity costs are relevant in any situation for which
the available budget limits the choice of alternative choices
when assessing the cost - effectiveness of screening strategies, the health economic evaluation should include costs and health effects of
screening, treating the discovered disease, adverse events of treatmens
which is broader? patient or societal perspective?
societal perspective
- get insight in the policy problem
is there a problem or is there need for more information?
- who is dealing with the issues?
- identification of alternatives
comparison between new intervention and the standard intervention
- research question
PICO (population, interventio, comparator, outcome)
- study perspective
type of policy problem
- societal perspective is mandatory
- identification of relevant costs and consequences
which costs and consequences are relevant
- measurement and valuation of costs
- related (and unrelated) health care costs
- patient and family costs
- productivity loss
- costs in other sectors
- full cost - effectiveness analysis
calculating QALYs 0 = death, 1 = perfect health
reliability
to what extend research gives you the same results on case it is repeated
validity
do I measure what I really want to measure?
- internal: to which extend the cost - effectiveness relationship is trustworthy and not influence by external factors (bv. selection - bias, information - bias, confouncing)
external: to which extend the results are generalisable to entire patient population.
checklist for assessing methodological quality
- list of ‘‘drummond’’
- CHEC
- QHES
- CHEERS
to gain insight into the strength and weaknesses of the study and analysis
list of drummond
10 vragen
