Can we really compare and aggregate PRO data between people and setting
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The document discusses the comparability of patient-reported outcome (PRO) data between populations and settings. It raises two key issues with assuming comparability. First, PRO instruments may not capture health attributes or describe health consistently across cultures and languages. Second, how individuals perceive and report their own health can depend on social and contextual factors like expectations, education levels, and access to healthcare. The document cautions that relying solely on self-reported health data to assess healthcare or medical strategies without addressing these issues can be misleading. It then outlines the agenda for a conference session that will address conceptual and linguistic challenges to cross-cultural PRO comparability, methods for examining differences in response category use, and approaches for handling heterogeneity in PRO data.
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Can we really compare and aggregate PRO data between people and setting?
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A new method for valuing quality of life: Direct elicitation of personal util...
A new method for valuing quality of life: Direct elicitation of personal util...Office of Health Economics
This document describes a new proposed method for directly eliciting personal utility functions to value health-related quality of life. The standard approach uses stated preference methods to value a subset of health states, but this has limitations. The new method would ask people directly about the relative importance of health dimensions and levels to construct individual utility functions. A study piloted this approach in the Netherlands and UK and found it to be acceptable. However, further work is needed to reduce burden and improve validation before it can be fully implemented and used to value other health outcome measures.The Distribution of the EQ-5D-5L Index in Patient Populations
1) The study explores whether the distribution of the EQ-5D-5L index in English patient populations shows clustering, as is often seen with the EQ-5D-3L index.
2) The analysis found some clustering in the distributions of the EQ-5D-5L index for different patient groups, but that the profile data alone did not account for the clusters. Different value sets used to calculate the index also generated different clusters.
3) The results indicate that careful exploratory analysis of EQ-5D-5L index data is needed to account for features like clustering, and ensure appropriate statistical techniques are employed.
Adrian Towse Presentation - Affordability
1) Sovaldi (a Hepatitis C drug) was found to be cost-effective by NICE in the UK, but at £1 billion per year it is not affordable for the NHS if all eligible patients are treated. Other European countries have sought large discounts and imposed treatment caps to limit spending.
2) There are different ways to think about drug affordability - whether a cost is absolutely unaffordable, if payers need time to adjust spending, or if payers want to cap returns to "reasonable" levels through discounts.
3) Annualizing payments by charging for the drug's benefits over several years through amortization or annual fees is one way to address high upfront costs of
OHE MIP Poster - HATi Toyko, May 2016
Multi-Indication Pricing: Pros, Cons and Applicability by Jorge Mestre-Ferrandiz, Adrian Towse, Renato Dellamano and Michele Pistollato;
HATi Toyko 2016 - Building Efficient Healthcare Systems Through Integrated He...
HATi Toyko 2016 - Building Efficient Healthcare Systems Through Integrated He...Office of Health Economics
The document discusses three levels of decision making for healthcare resources - macro, intermediate, and micro. It finds that decision making is currently fragmented between these levels, with different decision makers not following common objectives or methods. There is also significant variation between countries. The document identifies some potential policy options to better align decision making across levels, including using a consistent value principle, strengthening intermediate-level decisions, and monitoring data on health and economic impacts. However, more research is needed to develop an integrated decision making framework to reduce inefficiencies in health systems from the misalignment between different decision-making levels.Discussion of presentation by Rachel Baker Perspectives, priorities and plura...
Discussion of presentation by Rachel Baker Perspectives, priorities and plura...Office of Health Economics
This document summarizes Koonal Shah's discussion of a presentation by Rachel Baker on eliciting societal values and preferences regarding life extension at the end of life. Shah notes the importance of Baker's work in combining qualitative and quantitative methods to allow unexpected viewpoints to emerge on this policy issue. However, Shah also discusses limitations such as the study's non-representative sampling and questions whether the analysis allows consensus or only plurality. Overall, the discussion examines the strengths and limitations of Baker's approach to understanding heterogeneous public perspectives on prioritizing end of life health gains.Viewers also liked (16)
Is balancing value demonstration for payers and patient interests a feasible ...
Is balancing value demonstration for payers and patient interests a feasible ...
A New Approach to Presenting Health States in Stated Preference Valuation Stu...
A New Approach to Presenting Health States in Stated Preference Valuation Stu...
Using patient reported outcome measure in a cross-cultural context: conceptua...
Using patient reported outcome measure in a cross-cultural context: conceptua...
Modelling the Impact of Reform to the Cancer Drugs Fund
Modelling the Impact of Reform to the Cancer Drugs Fund
Adrian Towse Presentation - Modelling value of early access, 19 May 2015
Adrian Towse Presentation - Modelling value of early access, 19 May 2015
OHE at PROMs Conference Sheffield 2016: Presentations and Posters
OHE at PROMs Conference Sheffield 2016: Presentations and Posters
A new method for valuing quality of life: Direct elicitation of personal util...
A new method for valuing quality of life: Direct elicitation of personal util...
The Distribution of the EQ-5D-5L Index in Patient Populations
The Distribution of the EQ-5D-5L Index in Patient Populations
HATi Toyko 2016 - Building Efficient Healthcare Systems Through Integrated He...
HATi Toyko 2016 - Building Efficient Healthcare Systems Through Integrated He...
Discussion of presentation by Rachel Baker Perspectives, priorities and plura...
Discussion of presentation by Rachel Baker Perspectives, priorities and plura...
Similar to Can we really compare and aggregate PRO data between people and setting
K486165.pdf
This document discusses understanding the perceptions of sex workers regarding sexually transmitted diseases using the Health Belief Model as a theoretical framework. It begins by introducing sexually transmitted diseases and their risks. It then discusses health ontology/epistemology and the perceptions of sex workers. The Health Belief Model is examined, including its key constructs of perceived susceptibility, severity, benefits, barriers, cues to action, and self-efficacy. Finally, it proposes how these constructs can be applied to understand sex workers' perceptions and design health programs to reduce sexually transmitted diseases.
Health advocate (David Werner)
Content: Essay.
Overview: Essay looking at the work of the health advocate David Werner in reducing morbidity and mortality caused by easily preventable diseases within many isolated villages and communities.
Please Note
- This essay is purely academic and I will not accept legal responsibility for any information, interpretations or options contained herein.
- Feel free to utilise, critique, print or reference any of this content :)
5 community-mobilization-and-if-programmatic-areas-draft
Community mobilization activities aim to address HIV at the interpersonal, community, and structural levels for key populations. At the interpersonal level, activities include safe sex workshops, peer leader programs, outreach providing condoms and referring individuals to services, and behavior change messaging. These activities often overlap and are implemented through community-based organizations. However, key populations still face stigma, discrimination and legal barriers that limit access to services. Greater structural interventions are needed to improve health outcomes and rights for these groups.
5 community-mobilization-and-if-programmatic-areas-draft
Community-based services for key populations (MSM, IDU, sex workers) focus on interpersonal, community, and structural interventions. At the interpersonal level, services include peer education, outreach, workshops, and condom/needle distribution. Community services center around drop-in clinics providing testing, treatment, and support groups. Structural interventions advocate for rights, provide alternative incomes, and implement policies like needle exchange. However, major gaps remain in accessing adequate, quality services. Social factors like stigma, discrimination, and restrictive policies also limit service provision and uptake for key populations.
From Populations to Patients: The Clinical Relevance of Populational Studies ...
From Populations to Patients: The Clinical Relevance of Populational Studies ...Université de Montréal
This document summarizes a presentation on applying social psychiatry principles to clinical practice. It reviews influential population studies on topics like adverse childhood experiences and treatment gaps. It promotes translating this research to redefine health in social terms and integrating services in communities. It provides prescriptions for prevention, including addressing common issues and integrating primary and specialty care. The presentation argues for a social psychiatry approach in clinical teaching, interventions, policy, and advocacy.From Populations to Patients - Di Nicola - WPA World Congress, Bangkok, Thail...
From Populations to Patients - Di Nicola - WPA World Congress, Bangkok, Thail...Université de Montréal
V Di Nicola (Invited Panelist),
“From Populations to Patients: The Clinical Relevance of the Social Determinants of Health for Social Psychiatry,”
WPA Interorganizational Symposium WPA, WASP, IFP, RANZCP,
V Di Nicola, M Botbol (Co-Chairs),
D Moussaoui, V Di Nicola, P Udomratn, K Wannasewok, A Bush, A Abu Bakar (Presenters),
22nd World Congress of Psychiatry: “The Need for Empathy and Action,” World Psychiatric Association (WPA), Bangkok, Thailand,
August 3, 2022.
Objectives:
1. To review social psychiatry’s powerful populational studies on psychiatric epidemiology and Social Determinants of Health & Mental Health (SDH/MH)
2. To promote translational research of social psychiatric studies – redefining health in social terms
3. To provide ground-level prescriptions aimed at prevention, promotion, intervention, and adaptation in clinical social psychiatry
More than 1 in 5 people in conflict areas experience mental health issues
New estimates from the WHO find that some 22% of people in conflict areas around the world suffer from a mental health problem. Here’s more from the report:
•By disease type: 13% of people experienced mild forms of depression, PTSD, and anxiety, while some 5% of people experienced severe forms of those disorders.
•By age: Those over the age of 70 in conflict zones experienced the highest rates of depression and anxiety compared to the general population and those of other ages in conflict areas.
•A takeaway: The global estimates are higher than previously thought, according to the authors, who stress the need for mental health care and intervention in conflict-affected countries.
Social Psychiatry Perspectives - Di Nicola & Marussi - CPA Toronto - 29.10.2...
Social Psychiatry Perspectives - Di Nicola & Marussi - CPA Toronto - 29.10.2...Université de Montréal
CASP Workshop on Social Psychiatry
Canadian Psychiatric Association 72nd Annual Conference
Toronto, Ontario
October 27 – 29, 2022
Title:
Social Psychiatry Perspectives on the Health of Canadians:
A Social Psychiatry Manifesto & Intimate Partner Violence
Symposium Panel:
1. Vincenzo Di Nicola (Chair & Presenter, Montreal, QC)
2. Daphne Marussi (Presenter, Sherbrooke, QC)
Abstract:
This workshop sponsored by the Canadian Association of Social Psychiatry (CASP) reviews two contemporary Canadian psychiatric issues from a social psychiatry perspective:
1. Vincenzo Di Nicola (Montreal, QC) presents a social psychiatry manifesto with an overview of Social Psychiatry in the 21st century by surveying three main branches of Social Psychiatry: (1) psychiatric epidemiological studies and public health; (2) community psychiatry; and (3) relational and social therapies such as couple, family and community therapies. Implications for research, practice, and teaching in social psychiatry will be outlined.
2. Daphne Marussi (Sherbrooke, QC) explores Intimate Partner Violence (IPV) which describes an alarming aspect of relational violence with major social psychiatric consequences: the physical, sexual, or psychological harm by a current/former partner that is associated with many mental disorders from anxiety and depression to eating and substance abuse disorders. This presentation discusses different forms of psychological abuse and coercive control in IPV, the abused/abuser bond and their impacts and consequences.
References:
1. Di Nicola, V. Review article—“A person is a person through other persons”: A Social Psychiatry manifesto for the 21st century. World Social Psychiatry, 2019, 1(1): 8-21.
2. Snyder, R.L. No Visible Bruises - What We Don’t Know About Domestic Violence Can Kill Us. New York, NY, Bloomsbury Publishing, 2019.
Learning Objectives:
1. Redefine Social Psychiatry, name and describe its main branches: psychiatric epidemiology, community psychiatry, and relational therapies.
2. Describe Intimate Partner Violence (IPV) mainly against women, with examples of its mental health impacts, and its importance in Canadian society.
DOI: 10.13140/RG.2.2.32952.62728Wesb1301
The document summarizes a workshop on culturally sensitive, gender-responsive and human rights-based reporting on HIV/AIDS. The workshop covered analyzing current media coverage, defining key concepts, and recommendations. It found that media coverage can stigmatize or criminalize those living with HIV/AIDS. It emphasized understanding how culture, gender, and human rights impact transmission and treatment of HIV/AIDS to improve reporting.
19_alwarb_original_10_1 article د. جواد الوبر .pdf
Assessment of Knowledge about Standard Precautions and Nosocomial Infection among Nurses Working in Hospitals of Sana'a City, Yemen.
Dr. Gawad Alwabr Yemen
The impact of social policies on gender inequalities in health
"The impact of social policies on gender inequalities in health" by Laia Palència and Davide Malmusi, in the framework of the final conference of the European research project SOPHIE. 29th September 2015, Brussels
Quality of Life at your fingertips
Quality of Life Technologies Lab
University of Copenhagen
University of Geneva
In this presentation we describe challenges and opportunities of technology in the context of quantitatively evaluating behaviors, risks, and Quality of Life towards helping people live longer, healthier, and happier.
Quality of Life (QoL) technologies lab vision is to be a leading academic laboratory recognized for inter-disciplinary education, research, design and development aimed at improving Quality of Life of individuals throughout their lives.
The lab mission is to design, develop and evaluate emerging mobile technologies with the goal of assessing individuals’ life quality as it unfolds naturally over time and in context, and improving it at all stages of life.
This presentation has been delivered at the Frederiksberg Toastmasters public speaking club in Copenhagen, Denmark.
+ See a version in Spanish here: https://www.slideshare.net/vlad.manea/calidad-de-vida-a-su-alcance-156831152
+ See a version in Danish here: https://www.slideshare.net/vlad.manea/livskvalitet-lige-ved-hnden
Reference our work in your scientific article:
Katarzyna Wac, From Quantified Self to Quality of Life, Book Chapter in "Digital Health", Health Informatics, Springer Nature, p. 83-108, Dordrecht, The Netherlands, 2018.
Help our research (and your better living) by enrolling in the Quality of Life Living Lab:
https://www.qualityoflifetechnologies.com/living-lab/
Health literacy presentation
This document provides an overview of health literacy for healthcare professionals. It defines health literacy and explains its importance for patient outcomes. Limited health literacy is associated with poorer health, less adherence to treatment, and reluctance to engage with healthcare providers due to shame. The presentation measures health literacy, discusses strategies to improve communication and integrate health literacy into work, and advocates for further research on the topic.
Evaluation of the Relationship Between Socio-Economic Level and Severity of E...
Evaluation of the Relationship Between Socio-Economic Level and Severity of E...Healthcare and Medical Sciences
Background; Social Class has shown relation with admissions at Emergency Departments. To assess whether there is a relationship between the level of triage and the social class of patients who attend the emergency department and whether there are other variables that can modulate this association. Methods Observational study with 1000 patients was carried out between May and July 2018 in the Emergency Department of the University Hospital Arnau de Vilanova in Lleida. Sociodemographic variables such as age, gender, country of origin and marital status were analyzed. The triage level and the main explanatory variable was social class. Social class was calculated based on the CSO-SEE 2012 scale. Results 49.4% were male and the average age was 51.7 years. Most of the patients (66.6%) attended the emergency department under their own volition and the most common triage levels were level III or Emergency (45%). There is a significant relationship between age and triage level. The younger patients had a lower triage level (p <0.001). The percentage of patients with lower social class who attended the emergency department for minor reasons was 42% higher compared to the rest of the patients (RR = 1.42; 1.21-1.67 95% CI, p <0.001). Conclusions; Patients with a lower socioeconomic class go to the Emergency Department for less serious pathologies.RIWC_PARA_A186 who, global disability action plan....
The Learning Health System for Spinal Cord Injury (LHS-SCI) is a WHO initiative to improve health outcomes for people living with spinal cord injuries. It has three stages: 1) generating evidence through the International Spinal Cord Injury Survey (InSCI) and country reports analyzing health systems, 2) implementing recommendations through national stakeholder dialogues, and 3) building research and policy capacity. The InSCI survey collects data on functioning, health, and well-being from people in over 20 countries to inform the dialogues. Country reports analyze each health system's response to SCI. Together, this evidence aims to identify unmet needs and gaps to develop better policies, services, and care for people living with S
Rational Choice Theory & Health Communication. An Overview
Lecture presented at the Rational Choice Theory in Communication Research seminar, Lugano, May 7, 2009.
Infodemics.pptx
This document summarizes a systematic review of reviews on infodemics and health misinformation. The review examined how evidence-based studies address issues related to infodemics. It found that diverse types of information have been published on infodemics across five major areas. The reviews highlighted several opportunities and challenges around infodemics, including evaluating holistic impacts and countering misinformation. However, the methodological quality of published systematic reviews on infodemics still needs improvement.
Epidemiology versus Data Collection Bias - Studying the Needs of Platform Wor...
When looking at data science approaches to studying the needs of platform workers, most people use a methodology centred around mining social media. In this brief presentation at an Alan Turing Institute Workshop, I argue that epidemiological data sets and large social science surveys can shed light on aspects of platform workers' experience that are not disclosed on public forums.
Estudiante
This document analyzes interview data from cancer patients about their perceptions of good nursing care using Antonovsky's theory of sense of coherence.
The key findings indicate that most patients were able to activate their general resistance resources to cope with the stress of their illness, and that nurses, doctors, family and friends served as vital resources. Good nursing care likely supported the patients' sense of coherence by promoting meaningfulness, comprehensibility, and manageability.
The conclusion is that health personnel can support patients' meaningfulness by listening to their stories, support comprehensibility by providing good information, and promote manageability by alleviating physical suffering, as all three components of sense of coherence are important for caring for cancer patients.
The role of the community or public health nursing in.pdf
1. The document discusses the role of community or public health nursing in international health. It outlines the World Health Organization's concepts of "health for all" and primary health care, which aim to make health a fundamental human right and involve community participation.
2. Community or public health nurses working internationally seek to ensure access to cost-effective health care and are involved in various roles like research, assessment, planning, implementation, and policy work.
3. Nurses can improve access to care for vulnerable groups globally and must understand diverse health care systems and learn from one another to address pressing issues through evidence-based practices.
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5 community-mobilization-and-if-programmatic-areas-draft
5 community-mobilization-and-if-programmatic-areas-draft
5 community-mobilization-and-if-programmatic-areas-draft
5 community-mobilization-and-if-programmatic-areas-draft
From Populations to Patients: The Clinical Relevance of Populational Studies ...
From Populations to Patients: The Clinical Relevance of Populational Studies ...
From Populations to Patients - Di Nicola - WPA World Congress, Bangkok, Thail...
From Populations to Patients - Di Nicola - WPA World Congress, Bangkok, Thail...
More than 1 in 5 people in conflict areas experience mental health issues
More than 1 in 5 people in conflict areas experience mental health issues
Social Psychiatry Perspectives - Di Nicola & Marussi - CPA Toronto - 29.10.2...
Social Psychiatry Perspectives - Di Nicola & Marussi - CPA Toronto - 29.10.2...
19_alwarb_original_10_1 article د. جواد الوبر .pdf
19_alwarb_original_10_1 article د. جواد الوبر .pdf
The impact of social policies on gender inequalities in health
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Evaluation of the Relationship Between Socio-Economic Level and Severity of E...
Evaluation of the Relationship Between Socio-Economic Level and Severity of E...
RIWC_PARA_A186 who, global disability action plan....
RIWC_PARA_A186 who, global disability action plan....
Rational Choice Theory & Health Communication. An Overview
Rational Choice Theory & Health Communication. An Overview
Epidemiology versus Data Collection Bias - Studying the Needs of Platform Wor...
Epidemiology versus Data Collection Bias - Studying the Needs of Platform Wor...
The role of the community or public health nursing in.pdf
The role of the community or public health nursing in.pdf
More from Office of Health Economics
Devlin ispor 2020 issues panel 20.05.20
Professor Nancy Devlin argues that the use of utility theory to value health-related quality of life (HRQoL) in cost-effectiveness analysis (CEA) warrants reexamination. While utility theory has been convention for over 30 years, its application in health economics departs from the normative foundations of CEA. Extra-welfarism permits weighting outcomes based on principles other than preferences and allows multiple stakeholders to provide values. The orthodox utility-based approach is inconsistent with extra-welfarism and utility theory choices influence results. Further, stated preference methods construct rather than reveal preferences, limiting their validity. Devlin concludes the field should refocus on simple, fit-for-purpose HRQoL measures
Towse 2020 antimicrobials melbourne final
How do we Get and Pay for New Antibiotics? Proposed New Models for Value Assessment and Contracting for Payment.
Towse cgd price transparency seminar
The document discusses the topic of price transparency in healthcare. It examines price transparency from several perspectives, including whether transparency is good as an end in itself or as a means to improve outcomes. It also discusses transparency of the price-setting process versus prices obtained, and how transparency could impact competition, collusion, and prices of off-patent versus on-patent drugs. While transparency may reduce corruption and improve competition, it also potentially facilitates collusion and could result in higher prices if it reduces firms' incentives to offer low prices.
OHE presents at G20 AMR-R&D meeting in Paris - Adrian Towse
This document discusses the role of health technology assessment (HTA) and contracting mechanisms for new antibiotic drugs to address antimicrobial resistance (AMR). It notes that HTA typically focuses on clinical trial evidence but this presents challenges for antibiotics. The document recommends that HTA for antibiotics consider additional elements of public health value and that contracting move away from volume-based payments towards delinked models. International coordination on developing new approaches to AMR drug assessment and reimbursement is encouraged.
Pricing in emerging markets: options to get value for money - Adrian Towse
Pricing in emerging markets: options to get value for money - Adrian TowseOffice of Health Economics
This presentation looks at ways in which governments can set prices, including “cost plus”, value, and the external referencing of prices elsewhere. It looks at the role that competition can play in keeping down prices. In that context it briefly discusses pricing proposals being considered in Malaysia. It makes the case for using HTA to inform pricing decisions.
Adrian Towse% GDP spending in UK, G5 countries and OECD upper middle income countries. W...
% GDP spending in UK, G5 countries and OECD upper middle income countries. W...Office of Health Economics
The document discusses healthcare spending in Malaysia relative to other countries. It notes that while Malaysia spends around 4% of GDP on healthcare, this is split almost evenly between public and private spending. There are pressures to increase healthcare spending due to an aging population and shift to chronic diseases. While additional investment may pay off through economic and health gains, funding needs to be increased through measures like taxes on tobacco or reducing fossil fuel subsidies. The large public-private divide and high out-of-pocket spending also need to be addressed through more strategic purchasing of healthcare services.The role of real world data and evidence in building a sustainable & efficien...
The role of real world data and evidence in building a sustainable & efficien...Office of Health Economics
This presentation defines RWD and RWE in the context of digital health, and looks at potential uses for RWD and RWE. It briefly sets out the current landscape in Malaysia and looks at the challenges in using RWE. In particular, the issues of access, governance and ensuring good quality are considered.
ISPOR Education Symposium- Go where the money is
This document summarizes a symposium on capturing value across the healthcare system sponsored by PhRMA. The objective is to demonstrate why value assessment is critical for identifying gaps in value information, reducing low-value care, and measuring the value of health services. Speakers discuss expanding the focus of value assessment beyond drugs to hospital and medical services, where the majority of healthcare spending occurs. Presentations analyze factors driving rising US healthcare costs, measures of high- and low-value care, and approaches to align incentives to improve the system. The importance of robust measurement and considering stakeholder perspectives in value assessment is emphasized.
Role Substitution, Skill Mix, and Provider Efficiency and Effectiveness : Les...
Role Substitution, Skill Mix, and Provider Efficiency and Effectiveness : Les...Office of Health Economics
Graham participated in an organised session on Monday July 15th 2019. In the session he presented his paper with his co-author Ioannis Laliotis from the London School of Economics. The paper revisits the relationship between workforce and maternity outcomes in the English NHS in an attempt to contribute knowledge to an important policy question for which there has been a paucity of research. IS INDICATION BASED PRICING FEASIBLE AND/OR BENEFICIAL FOR SOCIETY?
Mireia Jofre-Bonet introduced the subject of whether IBP is beneficial to society or not, with a few PROS and CONS and lead the discussion afterwards.
Ispor 2019 poster - Patricia Cubi-Molla
This research explores the feasibility of introducing an Outcome-Based Payment approach for new cancer drugs in England. A literature review explored the current funding landscape in England, the available evidence on existing OBP schemes internationally, and
which outcomes cancer patients value most. Two focus groups and an online survey with patients and carers, as well as interviews with NHS and government stakeholders, healthcare
professionals, and pharmaceutical industry representatives, provided additional evidence on the feasibility and suitability of OBP schemes
Understanding what aspects of health and quality of life are important to people
Understanding what aspects of health and quality of life are important to peopleOffice of Health Economics
Poster presentation from the EuroQol Plenary Meeting 2019, Brussels, Belgium. By Koonal Shah, Brendan Mulhern, Patricia Cubi-Molla, Bas Janssen, and David Mott.Novel approaches for valuing health at the end of life
Koonal presented as part of an organised session on ‘moving beyond conventional economic approaches in palliative and end of life care’. He summarised the empirical evidence on the extent of pubic support for an end of life premium, before discussing some novel approaches that have been used in recent studies. His presentation was discussed by Helen Mason of Glasgow Caledonian University.
Author(s) and affiliation(s): Koonal Shah, Office of Health Economics
Event: iHEA Congress
Date: 17/07/2019
Location: Basel, Switzerland
Assessing the Life-Cycle Value Added of Second Generation Antipsychotics in S...
Assessing the Life-Cycle Value Added of Second Generation Antipsychotics in S...Office of Health Economics
This research presented in a poster at HTAi 2019, Cologne (Germany) by a team of OHE and IHE researchers, estimates the value added by second generation antipsychotics over their life-cycle in the UK and Sweden. It concludes that considering the entire life-cycle, the value added by SGAs to the system is higher than the expected value estimated at launch. P&R decisions should consider how to measure, capture and take into account the value added by medicines over the long-run.
Author(s) and affiliation(s): Mikel Berdud (Office of Health Economics, London), Niklas Wallin-Bernhardsson (Institute for Health Economics, Stockholm), Bernarda Zamora (Office of Health Economics, London), Peter Lindgren (Institute for Health Economics, Stockholm), Adrian Towse (Office of Health Economics, London)
Event: HTAi 2019 Annual Meeting
Date: 18/06/2019
Location: Cologne, GermanyHTA and payment mechanisms for new drugs to tackle AMR
The document discusses challenges with developing new antibiotics and incentivizing research and development. It notes that existing health technology assessment models do not fully capture the public health value of new antibiotics. It recommends that countries modify their HTA and contracting approaches to better recognize individual and societal benefits, such as preventing transmission and avoiding outbreaks. The document also recommends exploring pilots of delinked payment models from England and Sweden and applying modeling techniques used for vaccines to the assessment of antibiotics.
Assessing the Life-cycle Value Added of Second-Generation Antipsychotics in S...
Assessing the Life-cycle Value Added of Second-Generation Antipsychotics in S...Office of Health Economics
This study aims to guide access decisions and drive the discussion on access and price, through recognition of the dynamic nature of value added by pharmaceutical innovation over the long-run. The analysis of the life-cycle value of risperidone estimates the value generated in the UK and Sweden. Results show that health systems were able to appropriate most of the life-cycle value generated, and this is larger than estimated at launch.
Author(s) and affiliation(s): Mikel Berdud(1), Niklas Wallin-Bernhardsson(2), Bernarda Zamora(1), Peter Lindgren(2), and Adrian Towse(1) (1) Office of Health Economics (2) The Swedish Institute for. Health Economics
Event: XXXIX JORNADAS DE ECONOMÍA DE LA SALUD
Date: 12/06/2019
Location: Albacete, SpainPay for Performance for Specialised Care in England
This document summarizes a presentation on pay-for-performance (P4P) programs in the English National Health Service (NHS), specifically the PSS-CQUIN schemes for specialised services. PSS-CQUIN uses incentive payments to encourage quality improvement and value for money in specialised care areas like cancer treatment and mental health. The schemes link a portion of provider funding to performance indicators. While PSS-CQUIN aims to improve care quality, its complexity and lack of evidence linking indicators to outcomes are areas for improvement. An ongoing evaluation will assess PSS-CQUIN's effectiveness and cost-effectiveness to inform future contract designs.
Real option value drugs: is it really an option?
In this session, Meng Li sets out estimates of real option value for drugs arguing that option value matters and can be calculated. Adrian Towse sets out likely payer concerns about incorporating real option value into decision making. Meng Li responds to these concerns. Jens Grueger sets out how industry considers investment opportunities, arguing that if patients (and society) have preferences these need to be reflected in P&R decisions.
Author(s) and affiliation(s): Meng Li, Postdoctoral Research Fellow, Leonard D Schaeffer Center, University of Southern California, Los Angeles, CA, USA. Adrian Towse, Emeritus Director, Office of Health Economics, London, UK Jens Grueger, formerly Head of Global Access, Senior Vice President at F. Hoffmann-La Roche
Event: ISPOR 2019
Location: New Orleans, USA
Date: 21/05/2019
MCDA OR WEIGHTED CEA BASED ON THE QALY? WHICH IS THE FUTURE FOR HTA DECISION ...
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In this ISPOR session Chuck Phelps and Adrian Towse debated the case for and against using MCDA to support HTA decision making, as compared to weighting or augmenting a QALY based ICER approach. Chuck Phelps argued for use of MCDA, Adrian Towse for weighting the QALY. Nancy Devlin set the scene and moderated.
Author(s) and affiliation(s): Nancy Devlin, Director, Centre for Health Policy, University of Melbourne, Australia Adrian Towse, Emeritus Director, Office of Health Economics, London, UK Chuck Phelps, University of Rochester, Rochester, NY USA
Event: ISPOR 2019
Location: New Orleans, USA
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OHE presents at G20 AMR-R&D meeting in Paris - Adrian Towse
OHE presents at G20 AMR-R&D meeting in Paris - Adrian Towse
Pricing in emerging markets: options to get value for money - Adrian Towse
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% GDP spending in UK, G5 countries and OECD upper middle income countries. W...
% GDP spending in UK, G5 countries and OECD upper middle income countries. W...
The role of real world data and evidence in building a sustainable & efficien...
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Role Substitution, Skill Mix, and Provider Efficiency and Effectiveness : Les...
Role Substitution, Skill Mix, and Provider Efficiency and Effectiveness : Les...
IS INDICATION BASED PRICING FEASIBLE AND/OR BENEFICIAL FOR SOCIETY?
IS INDICATION BASED PRICING FEASIBLE AND/OR BENEFICIAL FOR SOCIETY?
Understanding what aspects of health and quality of life are important to people
Understanding what aspects of health and quality of life are important to people
Novel approaches for valuing health at the end of life
Novel approaches for valuing health at the end of life
Assessing the Life-Cycle Value Added of Second Generation Antipsychotics in S...
Assessing the Life-Cycle Value Added of Second Generation Antipsychotics in S...
HTA and payment mechanisms for new drugs to tackle AMR
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Can we really compare and aggregate PRO data between people and setting
- 1. Moderator: Professor Nancy J. Devlin Director of Research, OHE ISPOR European Congress, Vienna, 2016 Can we really compare and aggregate PRO data between people and setting? Implications for clinical trials and HTA
- 2. ISPOR European Congress, Vienna, 2016 Can we safely assume comparability of PRO data? • Use of PRO instruments to measure health within and between populations, and the aggregation of those data (e.g. in RCTs) relies on their strict comparability. Two aspects to this: (i) Properties of the instruments themselves: conceptual (what attributes of health matter) and linguistic/semantic issues (how to describe health). (ii) How people respond to the instruments in self-reporting health. Self-perception of health and health problems may depend on: • Their perception of what is ‘normal’ and expectations regarding health • Conditioned by social context, education, literacy, income, availability of health care facilities, public health education etc.
- 3. ISPOR European Congress, Vienna, 2016 Does ‘no problems’ mean different things to different people? Might ‘the best health you can imagine’ (and the worst) differ between different sorts of people?
- 4. ISPOR European Congress, Vienna, 2016 LifeexpectancySelf-reported morbidity Sen (2002) Self reported morbidity has severe limitations and can be extremely misleading BMJ “The internal (self-reported) view of health deserves attention, but relying on it in assessing health care or in evaluating medical strategy can be extremely misleading”
- 5. ISPOR European Congress, Vienna, 2016 Nancy Devlin (Moderator): Introduction Mike Herdman: Conceptual and linguistic issues in cross-cultural comparability of PROs Paula Lorgelly: Addressing differences in use of PRO response categories: anchoring vignettes Andrea Manca: Methods for addressing heterogeneity in PRO data
- 6. NANCY DEVLIN The Office of Health Economics Registered address Southside, 7th Floor, 105 Victoria Street, London SW1E 6QT Website: www.ohe.org Email: ndevlin@ohe.org THANK YOU FOR YOUR ATTENTION