Lecture 5 Flashcards

1
Q

Triple Aim

A

Improve Health
Better Care
Lower Costs

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2
Q

Fee-for-service

A

incentive to provide a higher volume of services

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3
Q

Pay-for-performance

A

incentives to provide high quality care at lower costs

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4
Q

Pharmacoeconomics

A

Description and analysis of the costs and consequences of pharmaceuticals and pharmaceutical services and its effects on individuals, health care systems and society

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5
Q

Outcomes

A

studies that attempt to identify, measure, and evaluate the end results of health care services (clinical, economic, and humanistic)

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6
Q

Economic outcomes

A

direct, indirect, and intangible costs compared with the consequences of medical treatment alternatives

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7
Q

Clinical outcomes

A

Medical events that occur as a result of disease or treatment

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8
Q

Humanistic outcomes

A

Consequences of disease or treatment on patient functional status, or quality of life, measured along several dimensions

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9
Q

Direct Medical Costs

A

costs incurred for medical products and services used for the prevention, detection, and treatment of disease

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10
Q

Intangible costs

A

cost of pain, grief, and other nonfinancial outcomes of disease and medical care

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11
Q

Incremental costs

A

additional costs incurred to obtain an additional unit of benefit from an alternative strategy

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12
Q

Opportunity costs

A

money spent on one resource that cannot be spent for other purposes

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13
Q

Cost of Illness (COI)

A

Identifies all of the direct and indirect costs of a particular disease within a healthcare system

use to provide baseline to compare prevention/treatment options against

total cost of disease can be compared to cost of intervention

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14
Q

Cost minimization analysis (CMA)

A

Compares the cost of two or more equivalent treatments

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15
Q

Cost-benefit analysis (CBA)

A

compares the costs and benefits of treatment alternatives or programs; costs and benefits expressed in monetary terms

used to compare treatment alternatives or programs when deciding how to allocate scarce resources

used the least

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16
Q

Cost Effectiveness analysis (CEA)

A

method to compare competing treatments where cost is measured in monetary terms and consequences in units of effectiveness or natural units (lives saved, cases cured, life expectancy, drop in BP)

results expressed as average cost effectiveness ratios (ACER) or as the incremental cost of using one alternative over another (ICER)

used to compare competing programs or treatment alternatives that differ in therapeutic outcomes

17
Q

Cost-Utility analysis (CUA)

A

Method to compare treatment alternatives where costs are measured in money and outcomes are expressed in terms of patient preferences or QOL

used to compare treatments or programs using terms of quality of health care, or when outcomes cannot be expressed in monetary terms