Pharmacoeconomics Flashcards Preview

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Flashcards in Pharmacoeconomics Deck (17):
1

where do most healthcare expenditures come from

1. hospitals
2. drugs
3. docs

2

how much of each tax dollar spent on drugs

42%

3

3 reasons drugs getting more expensive

1. new products (usually more)
2. more expensive products
3. more prescriotions and utilizations

4

what is formal drug funding decision making process

1. does it cost more
2. if it does, is it better enough?

5

where are decisions made about funding drugs

1. national input
2. provincial decision making

6

4 aspects that are taken into account in cost effectiveness

1. cost of product
2. outcomes in life
3. incrememental cost
4. saving in other healthcare costs

7

what is a formulary

list of drugs that you can proscribe

8

who maintains a hospital formulary

pharmacy and therapeutics commitiees

9

where might formuaries be found

1. hospital
2. provincial
3. private
4. national

10

4 aspects that must be taken into account in IDing costs

1. data source
2. ID resources
3. quantify resources
4. unit cost

11

3 levels of outcome data

1. survival
2. intermediate (INR, HR)
3. QOL

12

what is a quality adjusted life year

QAYL - duration of state * fraction of QOL in that time

13

when is cost-minimization analysis used

when benefits of both drugs are the same

14

what is cost-effectiveness analysis

benefits not explicitly valued - Life years gained, or cases detected

15

what is cost-utility analysis

based on life years gain weighted by the QALY

16

what is best method to compare across disease

cost-utility analysis

17

what is an incremental cost effectiveness ratio

(cost drug A- cost drug B) / ( outcome treatmentA - outcome treatment B)

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