Pharmacoeconomics Flashcards

1
Q

Health Economics

A
  • One of the many fields of pharmacoeconomics
  • Use of healthcare resources
  • Health insurance
  • Optimizing utility values
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2
Q

Clinical/Humanistic Outcomes

A
  • One of the many fields of pharmacoeconomics
  • Consequences/results from interventions/treatment
  • Patient’s health-related quality of life
  • Impact on ability to be productive (paid/unpaid)
  • Health status (mental, physical)
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3
Q

Pharmacy Management

A
  • One of the many fields of pharmacoeconomics
  • Pharmaceuticals
  • Pharmaceutical Services
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4
Q

Why is Economic Evaluation popular?

A
  • Result of increased interest in comparative effectiveness research
  • Tremendous growth in the cost of healthcare
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5
Q

Factors Increasing Healthcare Costs

A
  • Hospital costs
  • Provider costs
  • Medical technology
  • Aging population (increasing in size)
  • Skyrocketing drug spending**
  • Negative impacts on health
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6
Q

Negative Impacts on Health Examples

A
  • Non-adherence to medical advice and medication intake
  • Alcohol/substance abuse
  • Smoking
  • Obesity
  • Unhealthy lifestyles
  • Increasing number of chronic diseases
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7
Q

Potential Market Trends

A
  • Medication costs expected to double by 2027
  • ~20% of population >65 y.o.
  • Medicare increased spending from 15% to 18%
  • Specialty medicines will exceed 50% of pharmaceutical spending
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8
Q

Challenges Managing Drug Spending

A
  • Specialty Pharmacy
  • Medical Pharmacy
  • Biosimilars
  • Increased costs of generics
  • Brand price increasing
  • Pipeline comprised of primarily specialty medications
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9
Q

Pharmacoeconomics

A
  • Is the drug worth its costs
  • Evaluating clinical, economic, and humanistic aspects of pharmaceutical products, services, and programs
  • Gives optimal outcomes and allocation of health care resources
  • Also determines which alternatives provide the best outcomes in comparison
  • Good for population based decision over individual
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10
Q

Pharmacoeco. Evalulation

A
  • Analytical tool used to assist in decision making in healthcare
  • Includes cost analysis and clinical or outcome study
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11
Q

Cost-Effectiveness

A
  • “Tech that is more expensive and “better” than alternative
  • Additional benefit is worth the additional cost
  • “Economically attractive”
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12
Q

Cost-Saving

A

-“Tech” that costs less than alternative and outcomes are not a concern (assumed equivalent)

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13
Q

Dominant

A
  • “Tech” that is less costly and has “better” outcomes than alternative
  • One dominates the other
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14
Q

CMA

A
  • Cost Measure: monetary units
  • Outcome Measure: none, assumed to be equivalent
  • Presentation: lower costs
  • Uses: cost efficiency
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15
Q

CEA

A
  • Cost Measure: monetary units
  • Outcome Measure: natural units
  • Presentation: Incremental cost-effectiveness ratio (ICER)
  • Uses: Least costly way to achieve outcome
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16
Q

CUA

A
  • Cost Measure: monetary units
  • Outcome Measure: Quality-adjusted life years (QALY)
  • Presentation: Cost/QALY
  • Uses: Value Quality of Life
17
Q

CBA

A
  • Cost Measure: monetary unit
  • Outcome Measure: monetary units
  • Presentation: Benefits-to-cost-ratio
  • Uses: Best investment
18
Q

Why conduct economic evaluation?

A

Decisions needed concerning multiple alternatives regarding:

  • Medications
  • Medication Management Programs
  • Medication and Surgical Treatments
  • Preventative Health Programs
19
Q

Personal Value for Pharmacoeconomics

A
  • Basic understanding of costs/benefits
  • Additional dimension to improve patient care
  • *Pharmacists increased responsibility for and affected by concerns involving medication regimens and budgets**
  • Industry jobs focuses on costs and outcomes
  • Advertisements increasingly making claims regarding cost effectiveness of treatments
  • *PE skills highly valued in the market**