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Epi - lec 27&28 - helath eco
Epi
20
Biology
Undergraduate 3
12/10/2012

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Term
differentiate between efficacy, effectiveness and effieciency
Definition
efficacy: can it work? does it do what its expected to? (laboratory)

effectiveness: does it work? RCTs

Efficiency: is it worthwhile? (do beneifits outweigh costs?)
Term
definition of epidemiology
Definition
study of the FREQUENCY, DISTRIUBTION and DETERMINANTS of HEALTH and DISEASE in POPULATIONS
Term
define economics
Definition
the study of how limited resources can best be used to fulfill unlimited human wants.
Term
how to make a decision when the outcome is known
Definition
partial budgets
Term
how to make a decision when the outcome is uncertain
Definition
decision trees
Term
deffereinate macro and micro economics
Definition
macro: national/international polices

micro: farm or small business or personal level
Term
5 principles of decision making
Definition
- define the question/decions (draw the "box")
- consider the time frame (time value of money_
- collect the inputs
- dcide on technique (certainity or not)
- condier risk
Term
deferintate revenue and expenses
Definition
revenue
- benefits
- the value of a human or animal at the end of an intervention

expenses
- cost
Term
define risk. give two aspects of it.
Definition
risk is the possibility of loss

2 aspects:
- magnitude of bad outcome
- likelihood of bad outcome

we like to minimize chance that worst outcome will occur
Term
describe partial budget
Definition
- used to compare 2 or more programs when most inputs and outputs are KNOWN
-one option may be "do nothing"
- one option evaluted or compared to other (current) option- the baseline.
Term
describe partial budget
Definition
- used to compare 2 or more programs when most inputs and outputs are KNOWN
-one option may be "do nothing"
- one option evaluted or compared to other (current) option- the baseline.
Term
describe partial budget
Definition
- used to compare 2 or more programs when most inputs and outputs are KNOWN
-one option may be "do nothing"
- one option evaluted or compared to other (current) option- the baseline.
Term
factors that go into decison making (6)
Definition
- gain
-cost (money, giving up other options)
- risk of adverse outcomes
- benefit (primory outcome - get better)
- cost (money- cost per dose; convince- treatments per day)
-risk of adverse outcomes - side effects
Term
describe decision analysis
Definition
- used to compare values of 2 or more programs when some of the important inputs or outputs are NOT known
- decision tree
Term
give definition of decions analysis
Definition
systematic method of evalutating various future events, consequences of events, lieklihoods and of valuing the end points
Term
steps in making a decision tree (5)
Definition
1. clearly define the decision
2. idenfity the chance outcomes from each option
3. identify probabilites of each outcome
4. assign value to each outcome
5. fold back tree to make decision
Term
how do decision trees deal with uncertainty?
Definition
vary inputs to see if small changes in inputs change the decision (senstivity analysis)
Term
risk aversion
Definition
extreme outcome (death), even when asscoiated with a small probability, can be unpalatable to the owner/client.

risk attitudes and perceptions can over-rule a sound quantitaive decision.
Term
list the 6 strengths of decision trees:
Definition
1. CLARITY of committing decision to paper
2. breaks down COMPLEX PROBLEMS into simple ones
3. identifies areas of LIMITED KNOWLEDGE
4. demonstrate effects of CHANGING INPUTS
5. defines outcomes in COMMON TERMS
6. useful to COMMUNICATE difficult decisions
Term
list the 5 limitations of decision trees
Definition
1. requires considerable time and effort
2. requires asssumptions (accuracy?)
3. generates AVERAGE expected values
4. can be difficult to account for risk
5. doesn't always produce an obvious choice
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