hta training - dr roisin adams - march 27th 2016
TRANSCRIPT
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Dr. Roisin Adams
Mar 2015
National Centre for Pharmacoeconomics
Pharmacoeconomics
Methods and Practical
Applications
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The NCPE conducts the health
technology assessment (HTA) of
pharmaceutical products for the Health
Service Executive
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Challenges
Benefit
Small studies
Single arm (no comparison)
Adverse Events
Uncertainty
In relation to lifetime extrapolations
How a drug may be used in Ireland
Costs
Justification
Additional hidden costs
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Cathal
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How is the patient voice heard currently
Formally
QALY valuations
Preferences for health measured by society
Informally
Organisations incl. IPPOSI,
Patient groups
Political debate and election
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The QALY
Measures changes in length of life and
HRQoL
Length of life measured in natural units
(years)
QALY = Length of life x Utility
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QALY Valuations
We ask people to make their preferences
in relation to health
Asking a person to state their preference
(choose) for one option (health state) over
another
E.g. Life A or Life B or Length of time in Life
A or Life B
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Hypothetical versus Experienced
Most country valuations have valued
hypothetical health states
Vs.
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Irish Valuation
Measure Health
Value
VAS (Thermometer measure)
Rank health states (from best to worst)
Time Trade Off
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VAS
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Ranking
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EQ-5D
Please complete the questionnaire
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