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Transcript of Health Economics
Health Economics for NLEM 2013
What is Health Economics?
a broad-based subdiscipline of economics
concerned with maximizing benefits within available resources
overlaps with a number of topics, both within and apart from, health and medicine
interacts with many other disciplines
encompasses more than economic evaluation alone
a significant role in health care decision-making at policy and clinical level
Types of Economic Evaluation
Cost Effectiveness Analysis
Cost Utility Analysis
Cost Benefit Analysis
Why NLEM needs Economic Evaluations?
HE Requirements in NLEM 2013
NLEM 2013 Submission - Appendix 1
Cost - Cost
Outcomes - Outcomes
Cost - Cost
QALY gianed - QALY gained
Threshold (NLEM 2013) = 160,000 Baht/QALY
, or preference weights, are:
– A quantitative approach for describing
preferences for quality of life.
– Typically based on a 0 to 1 scale, where:
• 0 = death.
• 1 = perfect health.
QALY = Quality-Adjusted Life Year = LY *
"generic name" +cost +effective +effectiveness +utility +analysis +economic +evaluation
Low extra cost
High QALY gained
High extra cost
Low QALY gained
New treatment dominated
New treatment dominates
New treatment is cost-effective in shaded region
General Decision Rules of Cost-Effectiveness Analysis
Rules for Comapring Multiple Options
Threshold = 160k Baht/QALY
ICER = 60k Baht/QALY
ICER = 340,k Baht/QALY
Centre of Excellence [GSK]
Google scholar <http://scholar.google.co.th/