Health economics for non-economists

34,50

LIEVEN ANNEMANS

Health economics is about making wise investments in health and health care. The purpose of this book is to make readers familiar with the principles, methods and pitfalls of health economic evaluations. This book will help everyone who is involved in health and health care to understand the methods used in these evaluations and to interpret their results.

Explains how cost-effectiveness of health interventions is calculated and how it should be interpreted.

Numerous examples, new trends, and new insights in how to spend our societal money in healthcare.

Allows non-economists to engage in the discussions and debate about decision making in healthcare.

Author is internationally known and respected for his inspiring lectures and training courses on health economic evaluations.

Product Description

Health economics is about making wise investments in health and health care. The purpose of this book is to make readers familiar with the principles, methods and pitfalls of health economic evaluations. These evaluations help to make choices and set priorities in favour of those investments (for prevention, diagnosis, cure or care) that give the greatest return on health for money spent.

The results of these evaluations are increasingly a subject of focus and discussion in scientific journals, at congresses and in health policy making. This book will help everyone who is involved in health and health care to understand the methods used in these evaluations and to interpret their results. In this second edition, with numerous recent examples, attention is also given to relatively new methods (including methods to measure quality of life) and a number of unavoidable trends (such as the use of real world evidence). Readers do not need a basic knowledge of economics.

LIEVEN ANNEMANS is a full professor of health economics at the Faculty of Medicine at Ghent University (Belgium) and has more than 20 years’ experience in international health economics research. He is past-president of the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) and is internationally known and respected for his inspiring lectures and training courses.

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Table of Contents

Foreword

Introduction

CHAPTER 1
Why health economic evaluations?

1.1 The purpose of health policy
1.2 In search of efficiency
1.3 Encouraging efficiency

CHAPTER 2
Definitions and principles

2.1 Some definitions
2.2 Net saving
2.3 Cost-effectiveness
2.4 Expressinghealtheffects
– 2.4.1 The ‘unit’ of health effect
– 2.4.2 The QALY
– 2.4.3 How to measure the index?
– 2.4.4 The threshold value

CHAPTER 3
The methods used in health economic evaluations

3.1 Decision trees and Markov models
– 3.1.1 General mathematical principles of the decision tree
– 3.1.2 A more realistic decision tree
– 3.1.3 The Markov model: basic princi ples
– 3.1.4 The Markov model: a real example for the treatment of breast cancer
3.2 The validity of health economic models
3.3 Sensitivity analysis
3.4 Prospectivehealtheconomicevaluations

CHAPTER 4
Guidelines for health economic evaluations

4.1 Why guidelines?
4.2 Summary of the most important guidelines

CHAPTER 5
Health economic evaluations in policy. Problems and trends

5.1 A QALY is not always equal to a QALY
5.2 The impact on the health budget
– 5.2.1 An exercise: choosing between seven different strategies
– 5.2.2 Problems with budget impact
– 5.2.3 Different levels of budget impact
– 5.2.4 A new concept: value informed and affordable prices
5.3 Dealing with uncertainty

Closing thoughts

Endnotes

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