健康經濟評估:健康衡量與價值之理論與方法
Health Economic Evaluation: Theory and Method of Valuing Health
| 節 | 週三 |
|---|---|
2 09:00–09:50 | 健康經濟評估:健康衡量與價值之理論與方法 YN613 3 節連堂 |
3 10:10–11:00 | |
4 11:10–12:00 |
* 根據陽明交大上課時間表所列
By the end of this course, students will be able to: 1. Develop a comprehensive understanding of the role of health measurement and valuation in health economic evaluation, essential for conducting PE and HEE studies. 2. Learn key microeconomic and welfare economic theories related to resource allocation and health valuation. 3. Explore the latest advancements in measuring and valuing health and their applications in economic evaluation.
This course provides an introduction to the measurement and valuation of health within the context of health economic evaluation (HEE) and pharmacoeconomics (PE). It covers fundamental economic theories related to valuing health and conducting economic evaluations. The course goes beyond basic knowledge to ensure a deep understanding of the tools and instruments used for measuring and valuing health in economic assessments. Given the advancements in PE methodologies over the past decade, this course will utilize the most up-to-date textbooks to introduce contemporary economic theories and methods. Additionally, students will engage in oral presentations of relevant journal articles to supplement the course material and enhance their critical understanding of current research in the field. In learning economic theories, students need to understand theoretical concepts and analyses that are often expressed in mathematical terms. While students are encouraged to familiarize themselves with these theoretical foundations, their mathematical abilities will not be assessed in performance evaluations.
The course follows a flipped classroom approach, requiring students to thoroughly read the course materials in advance. The first two hours of each session will begin with a brief overview of the key topics, followed by student-led discussions. Afterward, students will present briefings and engage in Q&A, with class participation being a key component of the evaluation. During the third hour, students will take turns supplementing the previous lecture's content with independent literature reviews and share their insights with classmates. For the final assessment, students can choose between submitting a final report or taking an exam.
Class Participation and Preparation (60%) – Students are expected to actively engage with the course materials, prepare briefing materials, and participate in class discussions, including Q&A sessions. Literature Review and Oral Presentation (30%) – Students will conduct a literature review to identify the most up-to-date journal articles relevant to the course and present their findings through an oral presentation. Final Term Paper or Examination (10%) – TBD
| 週次 | 主題 |
|---|---|
| 第 1 週 | Orientation and class operational management |
| 第 2 週 | Intro of valuation of health; welfare economics and utility theories [BRAZIER 2016] Chapter 2: page 14 – [BRAZIER 2016] Chapter 3 |
| 第 3 週 | Valuing and modeling health state [BRAZIER 2016] Chapter 4 and 5 (-page 119) |
| 第 4 週 | Multi-attribute utility theory; estimate cardinal values [BRAZIER 2016] Chapter 5 and 6 |
| 第 5 週 | Generic preference-based measures of health [BRAZIER 2016] Chapter 7 |
| 第 6 週 | Alternatives to generic preference-based measures [BRAZIER 2016] Chapter 8 |
| 第 7 週 | Design and analysis of health state valuation data for CEA [BRAZIER 2016] Chapter 9 |
| 第 8 週 | QALY is a QALY; international perspective [BRAZIER 2016] Chapter 10 and 11 |
| 第 9 週 | Midterm break |
| 第 10 週 | Valuing Health – 1: Why CEA and Diminishing return of health [PHELPS 2024]: Chapter 1 and 2 |
| 第 11 週 | Valuing Health – How uncertain Treatment Outcomes Affect Value [PHELPS 2024]: Chapter 3 |
| 第 12 週 | Valuing Health – Total value of medical intervention and trade-off between Quality of Life and Life Expectancy [PHELPS 2024]: Chapter 4 |
| 第 13 週 | Valuing Health – The Consequences of Permanent Disability [PHELPS 2024]: Chapter 5 |
| 第 14 週 | Valuing Health – In search of Decision Thresholds [PHELPS 2024]: Chapter 7 |
| 第 15 週 | Valuing Health – Measuring the risk parameters [PHELPS 2024]: Chapter 8 |
| 第 16 週 | Valuing Health – GRACE Model [PHELPS 2024]: Chapter 9 |
1. [BRAZIER 2016]Brazier, J., et al., Measuring and Valuing Health Benefits for Economic Evaluation. 2016: Oxford University Press. 2. [PHELPS 2024]Phelps, C.E. and D.N. Lakdawalla, Valuing Health: The Generalized and Risk-Adjusted Cost-Effectiveness (GRACE) Model. 2024: Oxford University Press. 3. [Mc 2006]McDowell, I., Measuring Health: A guide to rating scales and questionnaires. 2006: Oxford University Press. 補充: https://www.sheffield.ac.uk/nice-dsu/tsds/utilities TSD 8. An introduction to the measurement and valuation of health for NICE submissions TSD 9. The identification, review and synthesis of health state utility values from the literature Papaioannou, D., J. Brazier, and S. Paisley, Systematic Searching and Selection of Health State Utility Values from the Literature. Value in Health, 2013. 16(4): p. 686-695. TSD 10 and TSD22 (New). TSD 10. The use of mapping methods to estimate health state utility values; TSD 22. Mapping to estimate health state utilities Longworth, L. and D. Rowen, Mapping to Obtain EQ-5D Utility Values for Use in NICE Health Technology Assessments. Value in Health, 2013. 16(1): p. 202-210. TSD 11 Alternatives to EQ-5D for generating health state utility values TSD 12 The use of health state utility values in decision models Ara, R. and A. Wailoo, Using Health State Utility Values in Models Exploring the Cost-Effectiveness of Health Technologies. Value in Health, 2012. 15(6): p. 971-974.