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Summary Economic Assess of Health Care

Course
- Economic Assess of Health Care
- J.M. van Dongen
- 2019 - 2020
- Vrije Universiteit Amsterdam
- Gezondheidswetenschappen
98 Flashcards & Notes
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A snapshot of the summary - Economic Assess of Health Care

  • HC 1

  • What is the purpose of health technology?
    - prevention
    - screening
    - diagnosis
    - treatment
    - rehabilitation
    - palliation
  • What is investigated in HTA?
    > mortality
    > morbidity
    > adverse health effects
    > QoL
    > functional status
    > Patient satisfaction
  • What are features of efficacy?
    > study population in tertiary care setting
    > stringent eligiblily criteria
    > single or minimal outcomes
    > short study duration
    > minimal adverse event recording
    > smallest adequate ample size
    > completer-only analysis
  • What are the features of effectiveness?
    > study population in initial care setting
    > minimally restrictive eligibility criteria
    > multiple outcomes including compliance
    > long study duration
    > comprehensive adverse event recording
    > large sample size
    > intent-to-treat analysis
  • What is the role of NICE (national institute for health and care excellence)
    >Producing: evidence based guidance and advise for health, public health and social care performance
    >Developing: quality standards and performance metrics for those providing and commissioning health, public health and social care services
    > providing: a range of informational services for commissioners, practitioners and managers across the spectrum of health and social care
  • What are advantages of observational studies?
    > relatively easy to conduct
    > good reflection of usual practice
    > large population are required
    > confounding by indication (selection bias) > groups not comparable at the beginning of the study
  • What are features of a experimental research design?
    > expensive
    > selective patient population
    > randomization ensures allocation by chance, not by indication (prevents confounding)
  • What is reliability (precision)?
    > the degree of stability exhibited when a measurement is repeated under identical conditions
    >> refers to the measuring procedure rather than to the attribute being measured
  • What is performance bias?
    Systematic differences, other than the intervention under study, in the performance of care
  • What is selective outcome reporting bias?
    Selection of a subset of het original variables recorded, on the basis of the results, for inclusion in publication of trials
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