Cost-of-illness analysis
-measures the economic burden of a disease and illness on society. Measures the costs of: medical resources to treat disease, non-medical resources, loss in productivity, and intangible cost.
can tell you where resources are being used; cannot tell whether it is effective or not
What can COI analysis tell us about how resources are use?
e
__________ usually do not have an invested interest in COI analysis.
a) Government
b) patient
c) payers
d) healthcare system
e) Providers
knowledge of disease progression, survival probability, current/future projections of incidence rates & treatment patterns
What are challenges associated with Incidence-based COI analysis? (3)
a
Which is the best at calculating life-time cost of chronic disease?
a) incidence-based
b) prevalence-based
b
Which is the most commonly used COI approach?
a) incidence-based
b) prevalence-based
a
Which tells us the life-time disease cost & tracks patients from diagnosis to cure or death?
a) incidence-based
b) prevalence-based
Incidence-based COI
-provides a more accurate baseline for estimating the benefits of treatment or preventive programs whose benefits will occur over a long time
b
Which requires less data & fewer assumptions?
a) incidence-based
b) prevalence-based
a
If costs extend past one year, _______ will provide information about the cost of averting a case.
a) incidence-based
b) prevalence-based
a
Which approach tends to result in a lower cost estimate?
a) incidence-based
b) prevalence-based
study perspective, discount rate, direct/indirect costs, sensitivity analysis
What should be included in your study results? (4)
EMR
-a longitudinal collection of person-level health information, maintained by healthcare providers or patients.
Medication Expenditure Panel Survey (MEPS)
-large representative survey of US households and medical providers; includes information on costs and utilization of health care, including Rx.
Youth Risk Behavior Surveillance System (YRBSS)
-monitors six categories of health-related behaviors that contribute to the leading causes of death and disability among youth and adults.
data linkage of demographic information & other healthcare services
What are advantages associated with administrative claims data? (2)
turnover rate, changes in coding/accuracy
What are disadvantages associated with administrative claims data? (2)
Transactional/Operational data
-data that are collected as the result of activities that support the provision of a healthcare service i.e. pharmacy information system, lab results, data maintained by large firm.