L9: Methods for global cancer part 2 Flashcards
incremental cost-effeciveness ratio?
Need to calculate Incremental Cost-Effectiveness Ratio (ICER) if you are going to make judgements as to whether an intervention is ‘worth it’.
Two health economic evaluation approaches interchangeable – CUA preferred**
“costs per outcome” (cost-effectiveness analysis)
OR
“costs per QALY” (cost-utility analysis)
equation: cost (treatment)- cost (standard care) over (QA)LYs (treatment)- (QA)LYs (standard care)
if its below the willingness to pay threshold (set by individual country) we say yes, if above it then reject.
economic analysis at the patient level?
Catastrophic expenditure, financial toxicity, impoverishment
ethnography to political economy
ethnography: interviewing people where they describe lived experiences. describes the policy makers broad historical changes caused by big external macro geopolitical forces.
also do work on politcal economy-macro economics linked to qualitative sciences.
geo-qualitative?
look at where serives are being delivered and do interviews where we bring out the lived experiences.
Timely intelligence very poor
Adaptive networks of human intelligence worked better.
advanced HPSR
trying to understand the dimensionality challenges of innovation, value and reimbursmenet, going beyond traditional health economics and fusing that with political science and policy.
scientometric
quantitative research on the nature, output publications ?
modelling workforce etc.
if ask questions around workforce alot of data is not available at the country level, sub country level end up using extrapolations and? modelling. so assumptions have to come from expert practioners.
integrated political science and policy research
integrating health economic, imitation? science integrating with political science and policy research so changes practice and changes organisation and politics.
