Healthcare cost-effectiveness analysis for older patients

using cataract surgery and breast cancer treatment data by Arash Naeim

Publisher: RAND in Santa Monica, CA

Written in English
Published: Pages: 166 Downloads: 831
Share This


  • Cataract Extraction -- economics -- Aged.,
  • Breast Neoplasms -- therapy -- Aged.,
  • Cost-Benefit Analysis.,
  • Health Services for the Aged -- economics.,
  • Medical care -- Cost effectiveness.,
  • Cataract -- Surgery -- Cost effectiveness.,
  • Breast -- Cancer -- Treatment -- Cost effectiveness.,
  • Older people -- Medical care -- Cost effectiveness.

About the Edition

The two sections of this dissertation discuss cataract surgery and breast cancer treatment in older patients. A randomized clinical trial of older patients with cataracts forms the basis of a cost-effectiveness analysis of several approaches to cataract surgery. An evidence-based decision analysis is used to map the uncertainty associated with treatment decision for older patients with newly diagnosed early-stage breast cancer.

Edition Notes

Other titlesHealth care cost effectiveness analysis for older patients
StatementArash Naeim.
SeriesDissertation -- RGSD-168, Dissertation (Rand Graduate School) -- RGSD-168.
ContributionsRand Corporation.
The Physical Object
Paginationix, 166 p. :
Number of Pages166
ID Numbers
Open LibraryOL19531330M

Apr 24,  · In comparison, a more complex CEA analysis for patients in Ontario determined that of eight potential palliative care interventions, the strongest evidence for cost effectiveness was for in-home palliative care; however, societal data, including unpaid caregiving costs and effects on the caregivers, were also lacking from their models. 19 Cited by: 6. the part of patients and their families. Indirect costs are often not monetary, especially Cost-effectiveness analysis is a method for assessing the gains in health more than one aimed at saving an older person’s life (for instance, preventing recurrence of a stroke). Cost Effectiveness Analysis High Impact List of Articles PPts Journals International society for pharmacoeconomics and outcomes research, Journal of Medicinal chemistry, Cost Effectiveness and Resource Allocation, A Survey on Health Status and Health Care Demands of Chinese Urban Elderly Residents PPT Version | PDF Version;. average cost-effectiveness ratios suffice, but for mutually exclusive interventions, it is essential to use incremental cost-effectiveness ratios if the objective – to maximise healthcare effects given the resources available – is to be achieved. Cost-effectiveness ratios should be related to the size of relevant.

Nov 17,  · The aim of this study was to carry out an analysis of the cost effectiveness of antihypertensive drug treatment in different patient groups in Sweden. The We found that the cost per life-year gained decreases with age for both men and women. and is relatively low for middle-aged and older patients, even when the diastolic blood pressure (DBP Cited by: Oct 28,  · Cost-utility analysis--But medical interventions are not directed exclusively at saving years of life. Much of the health-care dollar is spent on therapies that are given with palliative intent. Cost-utility analysis is a particular type of cost-effectiveness analysis that . Oct 30,  · A cost-benefit analysis in healthcare is an assessment of the costs associated with a given medical treatment contrasted with the benefits for the patient or society at large. This is a component of health care economics, the study of economic factors that may play a role in decisions about medical treatment from patients, doctors, insurance. Older diabetic patients have a higher risk for diabetes-related complications, including microvascular and macrovascular damage and hypoglycemia, and therefore present significant challenges in achieving strict glycemic control and constitute a growing burden on the US healthcare system [2,3,4].Author: Tam Dang-Tan, Pravin S. Kamble, Yunus Meah, Cory Gamble, Rahul Ganguly, Libby Horter.

Feb 18,  · Purpose. Total knee arthroplasty (TKA) is an effective, but also cost-intensive health care procedure for the elderly. Furthermore, bearing demographic changes in Western Europe in mind, TKA-associated financial investment for health care insurers will increase notably and thereby catalyze discussions on ressource allocation to Orthopedic by: Advances in Cost-Effectiveness Analysis of Health Interventions Alan M. Garber. NBER Working Paper No. Issued in June NBER Program(s):The Health Care Program The growing application of cost-effectiveness (CE) analysis and controversies about its methods has led to a need to explore its welfare economic foundations. Feb 09,  · Patients in the control arm (n = ) received usual care from the hospital pharmacy team. Incremental cost effectiveness was examined in terms of costs to the healthcare system and an outcome measure of ADRs during an inpatient hospital stay. Uncertainty in the analysis was explored using a cost-effectiveness acceptability curve (CEAC).Cited by: Dec 12,  · BOSTON, December 12, – The Institute for Clinical and Economic Review has posted a summary of the reasons that the quality-adjusted life year (QALY) is the gold standard for measuring how well a medical treatment improves patients’ lives, and has served as a cornerstone of cost-effectiveness analysis in the U.S. and around the world.

Healthcare cost-effectiveness analysis for older patients by Arash Naeim Download PDF EPUB FB2

2 Healthcare Cost-Effectiveness Analysis for Older Patients: Using Cataract Surgery and Breast Cancer Treatment Data Introduction The percentage of elderly, over the age of 65, in the U.S.

population will be. approaches to cost-effectiveness in an older population, a clinical trial and modeling from existing data.

One part focuses on a randomized clinical trial on cataract surgery. The other part develops an evidence-based decision analysis model on the cost-effectiveness of treating older patients with early breast cancer. Healthcare Cost-Effectiveness Analysis for Older Patients: Using Cataract Surgery and Breast Cancer Treatment Data Chapter 5 Decision Analysis Modeling of the Adjuvant Treatment of Older Patients with Breast Cancer Arash Naeim, M.D.

Geriatric-Oncology Fellow RAND-UCLA Doctoral Fellow in Public Policy Division of Hematology-Oncology. Healthcare Cost-Effectiveness Analysis for Older Patients: Using Cataract Surgery and Breast Cancer Treatment Data Chapter 4 Clinical Trials in Older Cancer Patients: An overview of obstacles in generating evidence-based data.

Arash Naeim, M.D. Geriatric-Oncology Fellow RAND-UCLA Doctoral Fellow in Public Policy Division of Hematology-Oncology. assess cost-effectiveness. This dissertation has highlighted several aspects of performing cost-effectiveness analysis using: (a) a randomized control trial of cataract surgery and (b) modeling using data derived from meta-analyses of trials with mainly patients under 70 years of age.

Each analyses demonstrated inherent limitations. Healthcare cost-effectiveness analysis for older patients: using cataract surgery and breast cancer treatment data.

Apr 24,  · Cost-Effectiveness Analysis in Health is a practical introduction to the tools, methods, and procedures used worldwide to perform cost-effective research.

Cost-Effectiveness Analysis in Health walks you through the process from a real-world perspective to help you build a skillset that's immediately applicable in the field/5(12). Cost-effectiveness analysis is a method for assessing the gains in health relative to the costs of different health interventions.

It is not the only criterion for deciding how to allocate resources, but it is an important one, because it directly relates the financial and scientific implications of Author: Katherine R Jones. Third, the use of cost-benefit and cost-effectiveness analysis raises equity con- cerns.

For example, the rigid use of CBA and CEA may result in conclusions such as treating the elderly is less cost-effectiveness than treating the young and the care of critically ill patients is less cost-effective than managing those who are less by: Cost-effectiveness analysis Cost-effectiveness EHEP group Non-EHEP group Difference Prevalence model Average total costs (NT$), 34, Loss of life days Incidence model Average total costs (NT$), 34, Loss of life days EHEP = Elderly Health Examination Program.

health screening services not only lived longer, but also spent less Cited by: 7. Aug 09,  · These costs were offset by projected cost savings of $ to $ per patient as a result of fewer hospitalizations, yielding net savings of $ to $ per patient (ie, enalapril treatment dominated).

20 In the sensitivity analysis, the worst-case scenario cost-effectiveness ratio was $21, per year of life by: Oct 07,  · Applied Methods of Cost-effectiveness Analysis in Healthcare and millions of other books are available for Amazon Kindle.

Learn more Applied Methods of Cost-effectiveness Analysis in Health Care (Handbooks in Health Economic Evaluation Series) 1st EditionCited by: Healthcare Cost-Effectiveness Analysis for Older Patients: Using Cataract Surgery and Breast Cancer Treatment Data Article · January with 8 Reads How we measure 'reads'Author: Arash Naeim.

The objective is to estimate the cost-effectiveness of an intervention that reduces hospital re-admission among older people at high risk.

A cost-effectiveness model to estimate the costs and health benefits of the intervention was by: It focuses solely on cost-effectiveness analysis in health care. The book is developed out of the Advanced Methods of Cost-Effectiveness Analysis course taught at the University of Oxford and the.

Oct 19,  · At best, this mislabelling is confusing: at worst, conclusions drawn by the studies' authors could be harmful to patients' health. Thus, there are contraindications to the use of cost effectiveness analysis in health care, and an alternative economic approach is required.

Applied Methods of Cost-effectiveness Analysis in Healthcare Handbooks in Health Economic Evaluation, volume 3 This book provides the reader with a comprehensive set of instructions and examples of how to perform an economic evaluation of a health intervention.

A review of 6 major health care management textbooks finds few references to cost-effectiveness analysis, suggesting that health care leaders have little education regarding how to conduct or evaluate economic studies.

The agenda for nursing research on cost-effectiveness is by: One of the most important volumes is Cost-effectiveness in Health and Medicine, edited by Gold et al, which resulted from the work of the federal Panel on Cost-Effectiveness in Health and Medicine. 55 This book provides a clear and consistent set of rules for performing cost-effectiveness by: Cost-effectiveness analyses in health: a practical approach.

Cost-effectiveness analysis Most studies claiming to use these techniques in health care have in practice involved cost Author: Peter Muennig.

The final output for a cost-effectiveness research study, regardless of the study design, are incremental cost-effectiveness ratios (ICERs) calculated for each pair of competing interventions: ICER = δ C /δ E = (C1 − C0)/(E1 − E0) Cited by: In a second cost-effectiveness analysis with similar suppositions about sensitivity, likelihood of injury, and costs, Grogan 43 found CT to be more cost-effective than x-ray.

According to that analysis, CT would have an institutional cost of $ per patient, compared with $ per patient for x-ray. Apr 14,  · Cost-effectiveness analysis (CEA) is an important tool for assessing and pointing the way toward better health care efficiency. The number of published CEAs on health care interventions has.

Dec 01,  · The cost-effectiveness analysis was based in part on the notion that resources allocated to EoL care interventions were designed to maximize quality-adjusted life-years (QALY) for patients and their family, but improving QALYs may not be the intended aim of EoL by: 5.

Cost-effectiveness analysis is sometimes called cost-utility analysis. It is different to cost-benefit analysis. In cost-benefit analysis, the outcome is described in monetary terms.

For example, if the outcome is preventing one case of HIV you could assign a monetary value to this by adding up the average healthcare costs for an HIV patient. Feb 01,  · In a climate of economic uncertainty, cost effectiveness analysis is a potentially important tool for making choices about health care interventions.

Methods for such analyses are well established, but the results need to be interpreted carefully and are subject to bias.

Making decisions based on results of cost-effectiveness analyses can involve setting thresholds, but for individual patients Cited by: Medicare and Cost-Effectiveness Analysis Peter J. Neumann, Sc.D., Allison B.

Rosen, M.D., Sc.D., and Milton C. Weinstein, Ph.D. The Medicare program has been a notable hold-out in the global movement toward the use of cost-effectiveness analysis to inform health care decisions. Unlike the. Sep 01,  · Older age is a known risk factor for falls and age has been shown to influence the effectiveness of fall prevention programs.

To our knowledge, no studies have explicitly investigated whether cost-effectiveness of a multifactorial fall prevention intervention (the intervention) is Cited by: 4. Mar 13,  · The opposition to cost-effectiveness analysis in health care comes from two distinct groups that work closely together and reinforce one another.

The first group includes individuals or enterprises that book other people’s health care spending as their own health care income. As healthcare costs rise in the United States, debate is ongoing over how to obtain better value for dollars spent.

In this context, the use of cost-effectiveness analysis (CEA) is more compelling than ever. This book, written by the Second Panel on Cost-Effectiveness in Health and Medicine, reviews key concepts and analytic challenges in CEA.

Mar 22,  · Controls received usual health and social care. Main outcome measure Primary outcome for the cost effectiveness analysis was incremental cost per quality adjusted life year (QALY) gained. Results We undertook net benefit analyses of costs and outcomes for patients ( receiving telehealth; usual care).Cited by: health care resources.4 Economic evaluation methods, such as cost-effectiveness analysis (CEA), can be utilized to estimate the most efficient distribution of these resources.

A basic un-derstanding of CEA is essential to achieve an appropriate bal - ance between good patient care and reasonable cost contain-ment. What is Cost-Effectiveness.Sep 08,  · The new recommendations are intended to guide decision-makers in using new methods for analyzing evidence, reporting standardized results, incorporating both health-care system and societal perspectives, as well as weighing ethical issues in the use of cost-effectiveness analysis (CEA).