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Health economics in guidelines

One day course covering the principles and methods of health economics and cost effectiveness analysis.

Goals of the course:

  • To improve decision-making in clinical guidelines by promoting appropriate use of the principles and methods of economic evaluation.
  • To improve the quality of economic analysis in guidelines by enabling non-economists to better understand, inform and critique them.
  • To achieve a more integrated approach to the analysis of clinical and economic evidence.
  • Aug 22, 2012
  • 10:30 am
  • Berlin, Germany
  • BCC - Berliner Congress Center (Room A06)

  • 6:00 hours
  • Download

An overview of health economics in guidelines - Workshop outline

PARTICIPANTS

Non-economists involved in the production of clinical guidelines who wish to obtain a better understanding of the principles and practice of economic evaluation.

OBJECTIVES

By the end of the day, participants should understand the following key concepts:

  • Scarcity, opportunity cost and the role of economic evaluation in efficient resource allocation;
  • The importance of perspective to the estimation of costs;
  • The meaning and role of the Quality Adjusted Life Year (QALY) as a measure of health outcome;
  • The importance of incremental analysis (ICERs and Net-Benefits);
  • The role of modelling in combining or extending clinical data (decision trees and Markov models);
  • The role of uncertainty;
  • The role of sensitivity analysis in examining the impact of uncertainty over data or assumptions (deterministic and probabilistic sensitivity analysis).

Participants should also gain a preliminary understanding of some simple methods of analysis.  By the end of the day, they should be able to:

  • Estimate costs from simple resource use and unit cost data;
  • Estimate QALYs from simple quality-of-life and survival data;
  • Calculate an Incremental Cost-Effectiveness Ratio (ICER) from cost and outcome data;
  • Understand estimates generated from sensitivity analysis.

TEACHING MODE

Key concepts will be introduced in a series of short talks (10-40 mins).  Following each presentation, participants will split up into small groups to discuss a case study taken from a NICE guideline, which will be used to illustrate the key concepts and methods of analysis.

PLAN FOR THE DAY

 

Coffee available

10:00

 

Welcome & introductions, expectations

10:30

Talk 1

Introduction to health economics

10:40

Talk 2

Clinical Data

11:00

Talk 3

How to estimate costs

11:15

Break

11:30

Talk 4

Valuing health outcomes

11:45

Exercise

Exercise 1

12:00

Talk 5

Assessing cost-effectiveness

12:15

Lunch

12:30

Exercise

Exercise 2, Questions 1, 2 & 3

13:00

Talk 6

Decision Making 2

13:15

Exercise

Exercise 2, Questions 4 & 5

13:35

Talk 7

The role of modelling (decision trees)

14:00

Break

14:20

Exercise

Exercise 3

14:30

Talk 7

The role of modelling (Markov)

15:00

Exercise

Exercise 4

15:15

Talk 8

Investigating uncertainty

15:40

 

Finish

16:00

Course delivered by:

NICE

Facilitator: Prashanth Kandaswamy (NICE, UK)

Course designed by:

Katherine Cullen, Jasdeep Hayre, Prashanth Kandaswamy, Joanne Lord, Ifigeneia Mavranezouli, Richard Norman and David Wonderling

PLEASE NOTE

Please bring a calculator and a ruler with you to help with completing the exercises. A standard calculator on a mobile phone should be sufficient.

 

Facts

6:00 hours Time
Page last updated: Aug 08, 2012
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