上海交通大学医学院2012级研究生课程循证医学临床经济学评价.ppt

Tools for Decision Making;PART I.Opportunity cost;Example;Marginality : the question is not “ to study or not ”, but “how many hours per course”? Hours in study Result 5 20/100 10 50/100 15 70/100 20 80/100 25 85/100 30 86/100;Marginality for the consumer;Choice: the example of the MoH;PART Ⅱ.COST ANALYSIS;1. The use of cost information;2.The relation between cost and output: a few definitions;A few definitions;A numeric graphic example;Marginality in decision making:an example ;Costs of the Health Center;4. Allocating the overhead costs;5. Assessing costs for economic evaluation;A few definitions;Some tips…;Classify the following costs of an AIDS / HIV project;Comparing different interventions;6.Taking time into consideration: 6.1. Discounting;Time preference;A preference for the present;5 reasons for a positive rate of time preference;5 reasons for a positive rate of time preference;When to consider time preference in economic evaluation?;Discounting;Costs and benefits of 5-year intervention;Discounted costs benefits of a 5-year intervention;Definitions;How the discount factor is calculated?;Discounting: the formulas;Discounting: the formulas;Example;Exercise;Discounting with tables;What is the social rate of time preference?;Exercise;Sensitivity analysis;Consequences;Example: costs of 2 programs;PART Ⅲ. COST-EFFECTIVENESSANALYSIS;1st Proposal: Cost-Benefit Analysis;1st Proposal: Cost-Benefit Analysis;CBA;How to compare benefits to cost?;Example;Health benefits in monetary value?;Indirect benefit;Which monetary value for life?;To summarize;2nd Proposal: Cost-Effectiveness;2nd Proposal: Cost-Effectiveness;Breast Cancer