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Applied Health Economics and Health Policy

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https://www.readbyqxmd.com/read/27896681/financial-impact-of-direct-acting-oral-anticoagulants-in-medicaid-budgetary-assessment-based-on-number-needed-to-treat
#1
Kathleen A Fairman, Lindsay E Davis, Courtney R Kruse, David A Sclar
BACKGROUND: Faced with rising healthcare costs, state Medicaid programs need short-term, easily calculated budgetary estimates for new drugs, accounting for medical cost offsets due to clinical advantages. OBJECTIVE: To estimate the budgetary impact of direct-acting oral anticoagulants (DOACs) compared with warfarin, an older, lower-cost vitamin K antagonist, on 12-month Medicaid expenditures for nonvalvular atrial fibrillation (NVAF) using number needed to treat (NNT)...
November 28, 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27882528/an-empirical-comparison-of-the-eq-5d-5l-demqol-u-and-demqol-proxy-u-in-a-post-hospitalisation-population-of-frail-older-people-living-in-residential-aged-care
#2
Julie Ratcliffe, Thomas Flint, Tiffany Easton, Maggie Killington, Ian Cameron, Owen Davies, Craig Whitehead, Susan Kurrle, Michelle Miller, Enwu Liu, Maria Crotty
OBJECTIVE: To empirically compare the measurement properties of the DEMQOL-U and DEMQOL-Proxy-U instruments to the EQ-5D-5L and its proxy version (CEQ-5D-5L) in a population of frail older people living in residential aged care in the post-hospitalisation period following a hip fracture. METHODS: A battery of instruments to measure health-related quality of life (HRQoL), cognition, and clinical indicators of depression, pain and functioning were administered at baseline and repeated at 4 weeks' follow-up...
November 23, 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27832480/estimating-population-health-benefits-associated-with-specialty-and-traditional-drugs-in-the-year-following-product-approval
#3
James D Chambers, Teja Thorat, Colby L Wilkinson, Mark Salem, Prasun Subedi, Sachin J Kamal-Bahl, Peter J Neumann
OBJECTIVE: Compared to traditional drugs, specialty drugs tend to be indicated for lower prevalence diseases. Our objective was to compare the potential population health benefits associated with specialty and traditional drugs in the year following product approval. METHODS: First, we created a dataset of estimates of incremental quality-adjusted life-year (QALY) gains and incremental life-year (LY) gains for US FDA-approved drugs (1999-2011) compared to standard of care at the time of approval identified from a literature search...
November 10, 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27798797/many-miles-to-go-a-systematic-review-of-the-state-of-cost-utility-analyses-in-brazil
#4
REVIEW
Alessandro G Campolina, Luciana M Rozman, Tassia C Decimoni, Roseli Leandro, Hillegonda M D Novaes, Patrícia Coelho De Soárez
BACKGROUND: Little is known about the quality and quantity of cost-utility analyses (CUAs) in Brazil. OBJECTIVE: The objective of this study was to provide a systematic review of published CUAs of healthcare technologies in Brazil. METHODS: We performed a systematic review of economic evaluations studies published in MEDLINE, EMBASE, LILACS (Latin American and Caribbean Health Sciences Literature), SciELO (Scientific Electronic Library Online), NHS EED (National Health Service Economic Evaluation Database), HTA (Health Technology Assessment) Database, Web of Science, Scopus, Bireme (Biblioteca Regional de Medicina), BVS ECOS (Health Economics database of the Brazilian Virtual Library of Health), and SISREBRATS (Sistema de Informação da Rede Brasileira de Avaliação de Tecnologias em Saúde [Brazilian Network for the Evaluation of Health Technologies]) from 1980 to 2013...
October 31, 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27798796/screen-time-and-health-indicators-among-children-and-youth-current-evidence-limitations-and-future-directions
#5
REVIEW
Travis J Saunders, Jeff K Vallance
Despite accumulating evidence linking screen-based sedentary behaviours (i.e. screen time) with poorer health outcomes among children and youth <18 years of age, the prevalence of these behaviours continues to increase, with roughly half of children and youth exceeding the public health screen time recommendation of 2 h per day or less. The purpose of this article is to provide an overview of key research initiatives aimed at understanding the associations between screen time and health indicators including physical health, quality of life and psychosocial health...
October 31, 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27798795/can-a-circular-payment-card-format-effectively-elicit-preferences-evidence-from-a-survey-on-a-mandatory-health-insurance-scheme-in-tunisia
#6
Olivier Chanel, Khaled Makhloufi, Mohammad Abu-Zaineh
BACKGROUND: The choice of elicitation format is a crucial but tricky aspect of stated preferences surveys. It affects not only the quantity and quality of the information collected on respondents' willingness to pay (WTP) but also the potential errors/biases that prevent their true WTP from being observed. OBJECTIVES: We propose a new elicitation mechanism, the circular payment card (CPC), and show that it helps overcome the drawbacks of the standard payment card (PC) format...
October 31, 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27783332/achieving-and-sustaining-universal-health-coverage-fiscal-reform-of-the-national-health-insurance-in-taiwan
#7
Jesse Yu-Chen Lan
The paper discusses the expansion of the universal health coverage (UHC) in Taiwan through the establishment of National Health Insurance (NHI), and the fiscal crisis it caused. Two key questions are addressed: How did the NHI gradually achieve universal coverage, and yet cause Taiwanese health spending to escalate to fiscal crisis? What measures have been taken to reform the NHI finance and achieve moderate success to date? The main argument of this paper is that the Taiwanese Government did try to implement various reforms to save costs and had moderate success, but the path-dependent process of reform does not allow increasing contribution rates significantly and thereby makes sustainability challenging...
October 25, 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27766548/ethical-hurdles-in-the-prioritization-of-oncology-care
#8
Folkert de Groot, Stefano Capri, Jean-Claude Castanier, David Cunningham, Bruno Flamion, Mathias Flume, Harald Herholz, Lars-Åke Levin, Oriol Solà-Morales, Christoph J Rupprecht, Natalie Shalet, Andrew Walker, Olivier Wong
With finite resources, healthcare payers must make difficult choices regarding spending and the ethical distribution of funds. Here, we describe some of the ethical issues surrounding inequity in healthcare in nine major European countries, using cancer care as an example. To identify relevant studies, we conducted a systematic literature search. The results of the literature review suggest that although prevention, access to early diagnosis, and radiotherapy are key factors associated with good outcomes in oncology, public and political attention often focusses on the availability of pharmacological treatments...
October 21, 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27757918/a-cost-utility-analysis-of-prostate-cancer-screening-in-australia
#9
Andrew Keller, Christian Gericke, Jennifer A Whitty, John Yaxley, Boon Kua, Geoff Coughlin, Troy Gianduzzo
BACKGROUND AND OBJECTIVES: The Göteborg randomised population-based prostate cancer screening trial demonstrated that prostate-specific antigen (PSA)-based screening reduces prostate cancer deaths compared with an age-matched control group. Utilising the prostate cancer detection rates from this study, we investigated the clinical and cost effectiveness of a similar PSA-based screening strategy for an Australian population of men aged 50-69 years. METHODS: A decision model that incorporated Markov processes was developed from a health system perspective...
October 18, 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27730538/budget-impact-analysis-of-biosimilar-trastuzumab-for-the-treatment-of-breast-cancer-in-croatia
#10
August Cesarec, Robert Likić
BACKGROUND AND OBJECTIVE: Breast cancer is the most common cancer in women and has considerable impact on healthcare budgets and patients' quality of life. Trastuzumab (Herceptin(®)) is a monoclonal antibody directed against the human epidermal growth factor receptor (HER2) for the treatment of breast cancer. Several trastuzumab biosimilars are currently in development. In 2015, trastuzumab was the drug with the highest financial consumption among all drugs in Croatia. This model estimates the 1-year budget impact of the introduction of biosimilar trastuzumab in Croatia...
October 11, 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27704390/utility-estimates-of-disease-specific-health-states-in-prostate-cancer-from-three-different-perspectives
#11
Katharine S Gries, Dean A Regier, Scott D Ramsey, Donald L Patrick
OBJECTIVE: To develop a statistical model generating utility estimates for prostate cancer specific health states, using preference weights derived from the perspectives of prostate cancer patients, men at risk for prostate cancer, and society. METHODS: Utility estimate values were calculated using standard gamble (SG) methodology. Study participants valued 18 prostate-specific health states with the five attributes: sexual function, urinary function, bowel function, pain, and emotional well-being...
October 4, 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27699648/clinical-and-cost-effectiveness-of-apixaban-compared-to-aspirin-in-patients-with-atrial-fibrillation-an-australian-perspective
#12
Zanfina Ademi, Kumar Pasupathi, Danny Liew
OBJECTIVE: To determine the clinical and cost effectiveness of apixaban compared to aspirin in the prevention of thromboembolic events for patients with atrial fibrillation for whom vitamin K antagonist (VKA) therapy (warfarin) has been considered unsuitable. METHODS: A previously published Markov model with yearly cycles was updated. Information from the Apixaban Versus Acetylsalicylic acid to prevent Stroke in Atrial Fibrillation (AVERROES) trial in combination with other population data was used to simulate the costs and effects of apixaban compared to aspirin over 10 years...
October 4, 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27696328/determinants-of-voluntary-national-health-insurance-drop-out-in-eastern-sudan
#13
Chantal Herberholz, Wael Ahmed Fakihammed
BACKGROUND: Low enrolment and high drop-out rates are common problems in voluntary health insurance schemes. Yet, most studies in this research area focus on community-based health insurance and enrolment, rather than drop-out. OBJECTIVE: This study examines what causes informal sector families not to renew their voluntary National Health Insurance Fund (NHIF) health insurance membership in Eastern Sudan. METHODS: Primary data from about 600 informal sector households that dropped out or remained insured, collected through a household survey conducted in March 2014, were used...
October 1, 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27637920/health-state-utility-values-for-age-related-macular-degeneration-review-and-advice
#14
Thomas Butt, Adnan Tufail, Gary Rubin
Health state utility values are a major source of uncertainty in economic evaluations of interventions for age-related macular degeneration (AMD). This review identifies and critiques published utility values and methods for eliciting de novo utility values in AMD. We describe how utility values have been used in healthcare decision making and provide guidance on the choice of utility values for future economic evaluations for AMD. Literature was searched using PubMed, and health technology assessments (HTA) were searched using HTA agency websites to identify articles reporting utility values or approaches to derive utility values in AMD and articles applying utilities for use in healthcare decision making relating to treatments for AMD...
September 15, 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27637919/economic-evaluation-in-ethiopian-healthcare-sector-decision-making-perception-practice-and-barriers
#15
Elias Asfaw Zegeye, Josue Mbonigaba, Sylvia Blanche Kaye, Thomas Wilkinson
BACKGROUND: Globally, economic evaluation (EE) is increasingly being considered as a critical tool for allocating scarce healthcare resources. However, such considerations are less documented in low-income countries, such as in Ethiopia. In particular, to date there has been no assessment conducted to evaluate the perception and practice of and barriers to health EE. OBJECTIVE: This paper assesses the use and perceptions of EE in healthcare decision-making processes in Ethiopia...
September 14, 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27613726/delivery-of-essential-medicines-to-primary-care-institutions-and-its-association-with-procurement-volume-and-price-a-case-study-in-hubei-province-china
#16
Yuqing Tang, Chaojie Liu, Xinping Zhang
BACKGROUND: The low availability of essential medicines is a worldwide issue of concern. In 2009, China introduced a National Essential Medicines List (NEML), with NEML medicines being purchased in bulk at contracted prices established by tenders conducted at the provincial level. The availability of essential medicines in the public sector largely relies on commercial supply chains. OBJECTIVES: The objectives of this paper were to analyze the delivery performance of essential medicines under NEML provincial procurement arrangements, and to determine whether the procurement volume and price of medicines are associated with the delivery performance of suppliers...
September 10, 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27601240/virtual%C3%A2-touch%C3%A2-quantification-to-diagnose-and-monitor-liver-fibrosis-in-hepatitis-b-and-hepatitis-c-a-nice-medical-technology-guidance
#17
Jennifer A Summers, Muralikrishnan Radhakrishnan, Elizabeth Morris, Anastasia Chalkidou, Tiago Rua, Anita Patel, Viktoria McMillan, Abdel Douiri, Yanzhong Wang, Salma Ayis, Joanne Higgins, Stephen Keevil, Cornelius Lewis, Janet Peacock
Virtual Touch™ Quantification (VTq) is a software application used with Siemens Acuson ultrasound scanners to assess the stiffness of liver tissue. The National Institute for Health and Care Excellence (NICE) Medical Technologies Advisory Committee (MTAC) selected VTq for evaluation and invited the company to submit clinical and economic evidence. King's Technology Evaluation Centre, an External Assessment Centre (EAC) commissioned by NICE, independently assessed the evidence submitted. The EAC conducted its own systematic review, meta-analysis and economic analysis to supplement the company's submitted evidence...
September 7, 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27830525/acknowledgement-to-referees
#18
(no author information available yet)
No abstract text is available yet for this article.
December 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27744597/authors-reply-to-gandjour-the-cost-effectiveness-of-high-dose-versus-conventional-haemodialysis-a-systematic-review
#19
LETTER
Suzanne Laplante, Frank X Liu, Bruce Culleton, Angelito Bernardo, Denise King, Pollyanna Hudson
No abstract text is available yet for this article.
December 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27660161/comment-on-the-cost-effectiveness-of-high-dose-versus-conventional-haemodialysis-a-systematic-review
#20
LETTER
Afschin Gandjour
No abstract text is available yet for this article.
December 2016: Applied Health Economics and Health Policy
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