L9: Methods for global cancer Flashcards
global cancer?
Global Cancer = the study of Complex Adaptive Systems which are unique to the environment they’re in and the times they were conducted. i.e methods have to fit the context in which we’re working.
Multiple approaches to Models, Frameworks and Concepts
Hypothesis, Aims and Objectives drive methods
Complex array of statistics – always seek early expert help
No method is more important or of greater validity than an other.
complicated multi-dimensional methods?
Social factors, health policy, financing systems, organisations, processes, technology, behavior etc affect use & access to services, efficiency and effectiveness etc etc
Multiple goals: organize, manage, deliver, finance, reduce etc
Transdisciplinary: all types of social science, clinical insight, etc
Poly-dimensionality: operates across macro for example government level policy or syste,s, meso and micro levels like beliefs, norms, values of patients, patient communities etc.
trying to understand envrionment, pool together data, turn it into information and apply thinking into developing intellegence- evidence that comes from our methods our research questions that drives change in our policies and at the practical level.
read the paper on slide 8
health policy and services research?
HPSR:
- problems: low precision data, compartment gaps, poor HUMINT
seek quantitative and qualitative data
geoterraining?
global cancer try to understand volume of patients in centres and what sort of outcomes they have. important for informing how systems design and for improving quality.
mixed methods research in HSR?
about triangulating the truth, no one method is likely to give all the information you need. quantiative and qualitative are both valuable.
cancer economics?
Health economics is concerned with scarcity in the allocation of health and health care.
How much does care cost?
Is the price of this drug worth it?
Where should I invest?
Health economics is major methods area for policy. macroeconomics study- broad social, economic changes and how they relate to cancer.
things like the economic burden of cancer care can be investigated.
other types: ask questions on cancer drugs. are they bringing value to society?
so integrating economic evaluation with politics and policy.
health economics studies designed around principles?
have very deep philosophical viewpoints. Ideas of justice and social justice.
price, cost, affordability and value?
Amount of money asked for e.g. price of drug
Expenditure e.g. cost of delivering the regimen
Cost relative to amount purchaser able to pay
Worth in usefulness to the possessor
We try to quantify this as Value=Outcome/Cost
value judgements in practice?
Real world survival gains in advanced setting compared to
total costs of these gain
cost of illness studies?
Cost of illness analysis is the main method of providing direct healthcare costs
Also, methods for estimating productivity losses due to premature mortality and morbidity
& cost of informal care
