HTA Midterm Quiz

Question 1

This checklist may be used to assess and report ethical, legal and social issues surrounding implementation of proposed health technology/technical.

ELSI Checklist
AOTA
NOTA
Drummond’s Checklist

Answer 1

ELSI Checklist

Question 2

It may be used in assessing equity implications of a proposed intervention because it is efficient in the identification of the factors and context unique in the individual or group.

Qualitative methods
Quantitative methods
Progress-Plus
NOTA

Answer 2

Qualitative methods

Question 3

After topic assessment has been made, ___ must be developed to be presented to the Core Committee for final deliberation

Evidence Appraisal
Clinical Assessment
Evidence Summary
Critical Appraisal

Answer 3

Evidence Summary

Question 4

In evidence appraisal, during committee meetings technical resource support must come from the following, except

PITAHC
DOH
PhilHealth
FDA

Answer 4

DOH

Question 5

It is a practical approach used to judge the potential health effects of a policy, program, or project on a population, particularly on vulnerable or disadvantaged groups.

Health Impact System
Budget Impact System
Topic Assessment
Critical Appraisal

Answer 5

Health Impact System

Question 6

It is a method of comparing costs of alternative interventions which are known or assumed to have an equivalent medical effect.

CUA
CMA
CEA
CBA

Answer 6

CMA

Question 7

It implies fair opportunity to the target population to attain their full health potential and that no one should be disadvantaged from achieving this potential.

Equity
Validity
Transparency
Equality

Answer 7

Equity

Question 8

The following are factors to stratify health opportunities and outcomes, except

Gender/Sex
Health status
Religion
Place of Residence

Answer 8

Health status

Question 9

The expedited HTA process was organized in response to

R.A 10606
R.A 11223
A.O 2018-0026
A.O 2016-0034

Answer 9

A.O 2016-0034 ?

Question 10

The assessment of the DOH PNB may take up to

2 months
14 days
4 weeks
7 days

Answer 10

4 weeks

Question 11

In Markov model, this is an example of absorbing state

Sick
AOTA
Dead
Well

Answer 11

Dead

Question 12

The consequences in a decision model are reported as

AOTA
Monetary outcomes
NOTA
Health-related outcomes

Answer 12

AOTA

Question 13

According to the reference case, there may be cases that costs should disaggregated into separate time periods as treatment may vary over time. An example of this case would be treatments for

Pneumonia
Tuberculosis
Hypertension
Diabetes

Answer 13

Tuberculosis

Question 14

The application of an analytical method for systematically comparing different decision options

Threshold Analysis
Decision Model
Decision Analysis
Pharmacoeconomics

Answer 14

Decision Analysis

Question 15

This analysis allows for a more accurate presentation of complex scenarios that occur over a number of cycles or intervals

Markov Model
Analytical model
Dynamic Model
Decision Tree

Answer 15

Markov Model

Question 16

This form of analytical model is used to model interventions that have few and distinct outcomes that can be measured in a specific time.

Tornado graph
Dynamic Transition Model
Decision Tree
Markov Model

Answer 16

Decision Tree

Question 17

The uncertainty brought by the functional form of the model such as the categorization of different states of health.

Sources of Values to inform parameter estimates
Methodological uncertainty
Parameter Uncertainty
Structural uncertainty

Answer 17

Structural uncertainty

Question 18

For a Time-horizon greater than ____, the discount rate shall be decreased as the time period increases.

10 years
40 years
30 years
20 years

Answer 18

30 years

Question 19

Every state is uniquely determined by the parameter values and previous state variable values, always give the same results for the same starting conditions and parameter values.

Population-based Model
Deterministic model
Stochastic model
Individual base model

Answer 19

Deterministic model ?

Question 20

This unit evaluates and makes a judgement on the value of health technology in the Philippine context using an established criteria based on evidence.

PITAHC
Subcommittee
Core Committee
HTAC

Answer 20

HTAC

Question 21

Who shall oversee the development of the study protocol and the methodological standards and its responsiveness to the decision needs of the HTAC?

l. Subcommittee
II. Core Committee
III. HTAC
IV. PITAHC
V. Working Group
VI. Technical Secretariat

I,lll
II, IV, VI
V, VI, III
I,V

Answer 21

I, lll ?

Question 22

It is the appropriate study design to use in Adherence or Compliance to Treatment

SR of RCTs or Cohort Studies
SR of Case Control Studies
SR of Cohort Studies
SR of RCTs

Answer 22

SR of Cohort Studies

Question 23

It uses systematic method to evaluate the methodological quality of studies assessing both their strengths and limitations leading to the judgement of internal validity and the reliability of the study’s findings and conclusion.

Critical Appraisal
Economic Evaluation
Clinical Assessment
NOTA

Answer 23

Critical Appraisal

Question 24

Form of knowledge synthesis but the components of the process are simplified or omitted to produce information in a timely manner.

Rapid Review
Cohort Study
Case-control Study
Systematic Review

Answer 24

Rapid Review

Question 25

Cost of all goods and services used for the provision of healthcare which are not directly provided by the healthcare system. Direct Nonmedical cost Indirect cost Direct Medical cost Intangible cost

Answer 25

Direct Nonmedical cost ?

Question 26

Cost of pain and suffering associated with the treatment Direct Nonmedical cost Direct Medical cost Intangible cost Indirect cost

Answer 26

Intangible cost

Question 27

In the Expedited HTA process, they are responsible for developing and submitting the recommendation to the SOH. HTAU Technical Secretariat HTAC Subcommittee HTAC Assessment Team

Answer 27

HTAC Subcommittee ?

Question 28

____ is required when alternative technologies lead to differences in survival or benefits that persist for the remainder of a person's life.

Answer 28

Lifetime Time horizon

Question 29

For a period of 25 years, approximately ____% is implicated as discount rate.

Answer 29

7%

Question 30

Heterogeneity enables the decision makers to consider whether the proposed intervention should be made available to groups individuals with a greater capacity to benefit.

Answer 30

True

Question 31

In univariate sensitivity analysis, it is assumed that all inputs are estimated with a degree of precision.

Answer 31

False Answer: imprecision

Question 32

If the cost-effectiveness of a new therapy is estimated to be below the threshold, then it is likely that the decision-maker will recommend the new therapy.

Answer 32

True

Question 33

____ is used to predict the quantity, cost, and price of the resources required by the scope of a project.

Answer 33

Cost estimation?

Question 34

The patient ending up dead is an example of Markov state.

Answer 34

True

Question 35

The discount rate ___as the time horizon exceeds 30 years.

Answer 35

decreases

Question 36

In dynamic model, the infection risk depends on the number of infectious agents.

Answer 36

True

Question 37

In solving ___, health state utility is multiplied by the number of years the person has been diagnosed with the disease.

Answer 37

QALY

Question 38

Bioterrorism ____ be one of the factors to consider an expedited HTA process.

Answer 38

can

Question 39

_____is the final step in Health Impact Analysis.

Answer 39

Monitoring

Question 40

In Threshold Analysis, scenarios are useful to test particular subsets of multivariate analyses. T/F

Answer 40

F Answer: Scenario Analysis

Question 41

Recommendations are included in presenting the results to the core committee and communities.

Answer 41

True

Question 42

Economic Evaluation can assist policy makers in making complex decisions with greater objectivity and accountability to stakeholders.

Answer 42

True

Question 43

Song Hwa is 26 years old. She had been diagnosed with AML last two years. She has been given the health state utility value of 0.4. What is her QALY? (3 pts)

Answer 43

0.8