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????? (Health economics)

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(Health economics) 2010.10.29 ... – PowerPoint PPT presentation

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Title: ????? (Health economics)


1
?????(Health economics)
  • ??? ???
  • 2010.10.29

2
??
  • ?????????
  • ????????????????
  • ????????
  • ??QALY?ICER
  • ???????????????
  • ??????????

3
?????????
  • ????????????????????????????
  • ???????????????,???????????????

4
????????????????
5
????????????????
  • ???????(GDG)??????????,?????????????
  • ???????????????,???????
  • ?????????????????
  • ??????????????

6
??????????????
7
????????????
  • ???????????,??????????????????

???????
8
??????
?????? ?????????? ??????
?????? (Cost-utility analysis) ???? ????????????
?????? (Cost-effectiveness analysis) ???? ????,???????????????
?????? (Cost-benefit analysis) ???? ????
???? (Cost analysis) ???? ?
9
?????? (Cost-utility analysis)
  • ??????????????
  • ?????????????????????,????????????????????(outcome
    unit) ?
  • QALY (quality-adjusted life years ????????)

10
QALY (????????quality-adjusted life years)
  • QALY??????????????????
  • QALY?????(quantity)?????(quality)???,???????????

11
EQ-5D (????????)
  • ? Mobility
  • 1. No problems walking about.
  • 2. Some problems walking about.
  • 3. Confined to bed.
  • ? Pain/discomfort
  • 1. No pain or discomfort.
  • 2. Moderate pain or discomfort.
  • 3. Extreme pain or discomfort.
  • ? Self-care
  • 1. No problems with self-care.
  • 2. Some problems washing or dressing.
  • 3. Unable to wash or dress self.

? Anxiety/depression 1. Not anxious or
depressed. 2. Moderately anxious or depressed. 3.
Extremely anxious or depressed ? Usual
activities (work, study, housework,
leisure activities) 1.No problems in performing
usual activities. 2. Some problems in performing
usual activities. 3. Unable to perform usual
activities.
12
Each of the five dimensions used has three levels
no problem, some problems and major problems
making a total of 243 possible health states, to
which unconscious and dead are added to make
245 in total.
13
Health state valuations
14
Calculation QALYs
15
??????? (ICER) (incremental cost-effectiveness
ratio)
  • ??????????????
  • ??????????????????????????????????????
  • ICER????????????,?????????QALY?

16
  • ??10.2??????????????????????,????,???1000????????
    ?,????A???120?????????,?????B???180??????????????A
    ???????2,500,?????B???????4,900?

17
??????(Cost-effectiveness analysis)
  • ???????(?RCT),??????????outcome?(?????????????????
    ?????)
  • ????????????????????(??????????????????)

18
?????? (Cost-benefit analysis)
  • ??outcome???????????
  • ??????????
  • ??????????????

19
???? (Cost analysis)
  • ????????????????????
  • ??????????????????
  • ???????????????????

20
???????????????
  • ???????????????????????
  • ????????????????????????
  • ???????????
  • ?????????(NHS) ?

21
???????????
  • ???????
  • ?????????????
  • ??????????????
  • NHS??????????????????????????????????????????????

22
(No Transcript)
23
Thanks For Your Attentions
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