Introduction To Health Economics Flashcards

1
Q

What is opportunity cost

A

The opportunity cost of an activity is the sacrifice in terms of the benefits forgone from not allocating resource to the next best activity

For example-

To spend resource on on activity such as heart transplants means a sacrifice in terms of a lost opportunity cost elsewhere such as fewer hip replacements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is economic efficiency

A

It can be achieved when resources are allocated between activities in such a way as to maximise the benefit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the economic evaluation

A

Economic evaluation is the assessment of efficiency

It is a comparative study of the costs and benefits of alternative health care interventions for some given disease

Costs and benefits are evaluated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How do we measure health benefit

A

Natural units
QALYs
Monetary Value

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What does QALY stand for

A

The Quality-adjusted life year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What does QALYs combine

A

It combines the length of life with quality of life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the most commonly used metric for economic evaluation

A

QALYs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is meant by monetary value

A

The willingness to pay, so how much is someone willing to pay for the health benefit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How do we measure health costs

A

Monetary units
All relevant costs should be measured eg- drug treatment, hospital stays, appointments, managing adverse effects, scans and imaging

What costs does it being to the NHS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the 4 types of economic evaluation

A

Cost-effectiveness analysis
Cost-utility analysis
Cost-benefit analysis
Cost-minimisation analysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the outcomes measured in cost-effectiveness analysis

A

Outcomes are measured in natural units

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the outcomes measure in the cost-utility analysis

A

Outcomes measured in QALYs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the outcomes measured in the cost-benefit analysis

A

Outcomes are measured in monetary units

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the outcomes measured in for the cost-minimisation analysis

A

Outcomes are measured in any units
Just minimise the costs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the incremental cost effectiveness ratio

A

Difference in costs / difference in benefits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Why do we need the health economic models

A

Health economic modelling can allow us to
Induce all relevant comparators
Synthesise all relevant evidence
Translate from surrogate to final endpoint
Extrapolate event risks, outcomes and costs beyond the observed period of trial
Account for decision uncertainty

17
Q

What is the national institute for health and care excellence

A

It is an executive non-departmental public body of the department of health and social care

18
Q

What is the role of the national institute for health and care excellence

A

They make decisions on wether new treatments should be offered by the NHS, partly based on cost-effectiveness

19
Q

What is equity

A

Equity is concerned with the fairness or justice of the distribution of costs and benefits

20
Q

What are the alternative approaches to an economic approach

A

Spend the whole UK GDP on health and have rationing
Let waiting lists do the rationing
Let those who shout the loudest get what they want
Ignore the problem until the money runs out and everything then stops
Borrow more and more money and leave the debt to others

21
Q

What is health related quality of life

A

A combination of a persons physical, mental and social wellbeing

22
Q

What is health utility

A

A measure of strength of a persons preference for a specific health state in relation to an alternative health states

23
Q

What is quality-adjusted life years

A

An index of survival that is adjusted to account for the patients HRQoL
QALYs incorporates changes in both quantity and quality of life

24
Q

What is perspective

A

The viewpoint from which an economic evaluation is conducted