This document provides an overview of key concepts in health economics. It discusses how health economics studies how scarce resources are allocated for healthcare and how health and healthcare services are distributed. It defines equity and efficiency, and explains the importance of both. It also covers the concepts of demand and supply curves, and how bringing them together can lead to an efficient allocation of resources. Different types of economic evaluation techniques like cost-effectiveness analysis, cost-utility analysis, and cost-benefit analysis are introduced. The document provides examples of how these concepts can be applied through case studies.
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This presentation gives a basic introduction to the field of health economics and includes important concepts like that of efficiency, equity, opportunity costs, demand and supply and also includes financial evaluation
Here is the slide on Healthcare economic evaluation. The content of this presentation doesn't belong to me. They are copied from several literature and internet
This presentation gives a basic introduction to the field of health economics and includes important concepts like that of efficiency, equity, opportunity costs, demand and supply and also includes financial evaluation
Cost Benefit Analysis is a type of economic evaluation method where the costs of the program or intervention are compared to the benefits of the intervention. It is widely used tool for making decisions in health care. Cost Benefit analysis is typically used at the executive level of government when considering regulatory proposals that would be costly to implement but that would have potentially large economic benefits to society. Ask questions such as Are benefits greater than costs? E.g. policy makers need to decide if it would be more beneficial to tackle indoor air pollution in the district or to implement HIV screening program?
Health economics is a branch of economics concerned with issues related to efficiency, effectiveness, value and behaviour in the production and consumption of health and health care.
In broad terms, health economists study the functioning of health care systems and health- affecting behaviour such as smoking.
It is the discipline of economics applied to the health care.
Health system in the perspectives of health economicsBPKIHS
Here is the slide on Health system in the perspectives of health economics. The content of this presentation doesn't belong to me. They are copied from several literature and internet
Health Economics In Clinical Trials - Pubricapubrica101
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Jacquie White, Deputy Director of NHS England Long Term Conditions, Older People & End of Life Care and Claire Cordeaux SIMUL8 Executive Director for Health & Social Care were invited by Centers for Medicare & Medicaid Services to discuss how NHS England work in chronic disease.
Cost Benefit Analysis is a type of economic evaluation method where the costs of the program or intervention are compared to the benefits of the intervention. It is widely used tool for making decisions in health care. Cost Benefit analysis is typically used at the executive level of government when considering regulatory proposals that would be costly to implement but that would have potentially large economic benefits to society. Ask questions such as Are benefits greater than costs? E.g. policy makers need to decide if it would be more beneficial to tackle indoor air pollution in the district or to implement HIV screening program?
Health economics is a branch of economics concerned with issues related to efficiency, effectiveness, value and behaviour in the production and consumption of health and health care.
In broad terms, health economists study the functioning of health care systems and health- affecting behaviour such as smoking.
It is the discipline of economics applied to the health care.
Health system in the perspectives of health economicsBPKIHS
Here is the slide on Health system in the perspectives of health economics. The content of this presentation doesn't belong to me. They are copied from several literature and internet
Health Economics In Clinical Trials - Pubricapubrica101
Pubrica specializes in Health Economics in Clinical Trials, offering comprehensive support to ensure the economic aspects of your trial are effectively managed. From cost-effectiveness analysis to budgeting and reimbursement strategies, we help you optimize the economic outcomes of your trial. With Pubrica's expertise, you can navigate the complex landscape of health economics in clinical trials with confidence.
For more information, please refer to our service- https://pubrica.com/blog/research/health-economics-in-clinical-trials/ & Order now - https://pubrica.com/order-now/
Contact Our UK Medical Author’s;
Our email id – sales@pubrica.com
Contact No. +91 9884350006
Jacquie White, Deputy Director of NHS England Long Term Conditions, Older People & End of Life Care and Claire Cordeaux SIMUL8 Executive Director for Health & Social Care were invited by Centers for Medicare & Medicaid Services to discuss how NHS England work in chronic disease.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
How many patients does case series should have In comparison to case reports.pdfpubrica101
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Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
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3. Economics ??
Economics is the study of
• how individuals and societies choose to allocate scarce
productive resources
• among competing alternative uses and
• to distribute the 'products’ among the members of a
society
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4. Health economics
• The study of how scarce productive resources are
allocated
• among alternative uses for the care of sickness and the
promotion, maintenance and improvement of health.
• Also, how health care and health-related services, their
costs and benefits, and health itself, are distributed
among individuals and groups in society.
•
4
6. What is equity?
• Equity in health can be defined as the absence of
systematic disparities in health
• between social groups who have different levels of
underlying social hierarchy.
• Equity is not the same as Equality. Equity implies a
value judgment about a situation- i.e. it is about fairness
• equity makes value judgments on the basis of
measurements of equality
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7. Progress Model
• The Rockefeller Foundation has developed the Progress Model which shows
some of these factors that can be implicated in health inequities:
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8. Defining Efficiency
get the 'most' out of scarce resources
8
Health services
Determinants of
health
Determinants of well
being
primary care education consumer products
hospital services
income security
programs transportation
pharmaceuticals safe workplace
9. The Three Main components of
Efficiency
• Do not waste resources;
• Produce each output at least cost; and
• Produce the types and amounts of output that people
value most
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10. Elements of efficiency
• Technical Efficiency
• Cost-effectiveness Efficiency
• Allocative Efficiency
• Pareto Efficiency
• Marginal Analysis
'doing things
right'
'doing the right
things'
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11. The Nature of Demand
• When economists talk of 'demand' in the market place,
they are talking about consumers who want something
and are able and willing to pay for it
• the economist says that demand becomes “effective” when
customers come forward and express their wants in a
willingness and ability to pay. That’s what makes a
market possible
11
12. The Demand Curve
• The starting point in analyzing demand is to construct a
Demand Curve, which requires three things:
1. Quantify how much of a good or service people want and
will demand at different prices;
2. Get real data from functioning markets and record how
demanded quantities increase or decrease, as prices
increase or decrease; and
3. Plot the data to make the actual Demand Curve.
12
13. Elasticity of Demand
• To better understand and characterize demand,
economists want to know the rate at which the quantity
of a good or service changes with a change in price.
• Does demand fall a lot when the price increases, a modest
amount, very little, or not at all?
• If demand changes a lot when the price changes, we say
that demand is relatively elastic. If demand changes only
slightly when price increases, we say it is relatively
inelastic.
13
14. Analysing Supply
Clearly, the quantity of
health consultations
supplied in the market
varies directly (or positively)
with price. The higher the
price per health
consultation, the more
providers will supply.
14
15. Shifters
• Demand Shifters
• Number of Consumers
• Price of Substitutes
• Supply shifters
• Number of Suppliers
• Costs of Inputs
• New Technologies
15
16. Supply of Health Services
• Many countries have a wide
variety of the supply of
health services throughout
different areas of the
country.
• Usually the supply of health
services in urban areas is
better than in rural areas
16
25. When to use Cost-effectiveness
analysis ?
• Cost-effectiveness analysis is only suitable to compare
programs that have the same outcomes and where there
is a clearly dominant outcome of primary interest.
• In comparing different kinds of life saving programs (e.g.
kidney dialysis and transplantation, emergency air
ambulance system, trauma care), by using lives saved, or
more likely, life years gained as the common measure of
effect.
• However, even this is problematic if any of the programs
have an effect on quality of life as well as quantity of life.
25
27. Components of Economic Evaluation
• The resources consumed by the program (costs) fall into
three sectors:
(1) The health care sector
(2) Patient and family and
(3) Other sectors
• The consequences consist of two main categories:
(1) Resources saved in each of the three sectors discussed
above and
(2) Health effects.
27
29. WILLINGNESS‐TO‐PAY (WTP)
method
• used to convert health changes to their equivalent dollar
amounts
• WTP questions can be asked in a number of different
ways and these have different implications for the
analysis
1. WTP questions can be asked regarding only the actual
health change achieved
2. WTP questions can be asked for the whole program
(Global WTP),encompassing how much they are willing
to pay to achieve all of the consequences
29
31. Monopolies and
incomplete/unsustainable markets
• Sometimes there are only a few suppliers of some health
interventions. In this case they can dictate prices at
which services or goods are provided and this creates a
problem for the affordability and accessibility of health
care
31
32. Role of Government
• Regulations
• Taxes and subsides
• Public provision
• Public Information
Campaigns
32
33. How much are we spending?
• An important policy concern for health systems is the
extent to which the level and type of health spending
reflects the health needs of the population
• The Burden of Disease can be viewed as the gap between
current health status and an ideal situation in which
everyone lives until an old age free of disease and
disability.
33
35. Cases studies
• Developing evidence to support introduction of a point of
care NAAT for chlamydia and gonorrhea in the UK
• Family finances and disability: the cost of raising
children with disabilities
• Economic Analysis of Health Projects: A Case Study in
Cambodia
35
36. Economic Analysis of Health Projects: A
Case Study in Cambodia
• A. Least Cost Analysis
Determine the social cost of capital in real terms
Using the social cost of capital, discount the stream of economic costs over
the life of the project alternatives to arrive at net present values
Calculate the equalizing discount rate of the two lowest cost alternatives
Determine the least cost alternative and make recommendations
• B. Calculation of the Economic Internal Rate of Return
1. Economic Benefit Assumptions
2. Economic Cost Assumptions
3. The Economic Internal Rate of Return
• C. Preliminary Assessment of the Incidence of Benefits
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37. Supplier –the doctors problem
• In most countries, physicians are licensed by a
professional association or by the government after
completing a long course of study.
• The long duration of the training and the licensing puts
a barrier at the entry point in the market.
• Prospective new doctors must prove that they are fully
qualified before they can enter the market.
37