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dscription and analysis of costs of drug therapies to health care sys and sciety
id, meas, compare costs and consequenes of therapies and services
input (costs) -- Rx -- outcomes (ouputs)
challenge = control cost and maximize benefit |
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Outcomes research: Broader - health care interventions are evaluated to see if goal is reached = outcomes relevant to patient care |
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Direct: involves transfer of money (medical and non medical - as long as its related to treatment)
Indirect: unpaid resource use (absent from work leadit go lost productivity!
intangible costs: pain suffering anxiety due to illness |
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cost types within direct and indirect |
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variable: varies over time fixed: not expectedt change over time semi fixed: could vary usually over time btwn alt opporunity cost: amt resource could earn in highest vlaueed alternative use |
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Term
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Definition
bringing future costs to present value (for studies that span for more than a yr)
future $$ isnt as valued as highly as current $$
Discount factor: 1/(1+r)^t
rule of thumb 3-6% discount rate |
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bringing past costs to present value Retrospectie data |
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Incremental Cost Effectiveness Ratio (ICER)
Average (simple) C/E ratio = cost/effect
ICER = change in cost/change in effect = cost n - cost o / effect n - effect o
which then gives u $$$/for one additional success |
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Resources: how cost is measured |
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medications: AWP/AMP med services: charges/reimbursements personnel: work measurement hospitalizations: per diem, dz specific per diem, DRG, micro-costing |
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