Policy for healthcare systems Economic evaluations for the developing of a health insurance Different ways of financing healthcare Studying performance of healthcare system Payment systems for healthcare professionals/healthcare institutions Most of the work of economists up to 10 years ago. Very large picture If u take the decision to establish a single payer of healthcare. A strong international evidence that it’s the good idea Policies for healthcare invertentions applications of economic evaluations in them. Developing immunization, public health, increasing middle income countries in health technologies assessment (drugs, devices), clinical practice guidelines with a strong economic component alongside a clinical evidence Public health, social care, HTA, Use of economic evaluation within HTA. Has been practiced since 1980s. big change from that was HTA more close relate to reimbursement, what kind of treatments and services what we actually pay for in healthcare system. Produce a report, published, distributed, but no clear link to health policy makers. No obvious consequences of doing HTA Increasing of economic component in HTA. Doing the study becoming hardwire to the decision making in healthcare. Economic evaluation is included in HTA. Is there any evidence that economic component have a positive impact in that? Any successful practice in HTA including economic component? 1991 Australia say that they would request economic evaluations for reimbursing pharmaceuticals in their pharm formulary. Why focus on pharmaceuticals? In a high income country, pharmaceuticals 5-15% expenditure, higher than middle income country. No reason to focus on one sector. Country who take HTA seriously take care all healthcare interventions.
Policy for healthcare systemsEconomic evaluations for the
developing of a health insuranceDifferent ways of financing
healthcareStudying performance of healthcare system Payment systems
for healthcare professionals/healthcare institutionsMost of the
work of economists up to 10 years ago. Very large pictureIf u take
the decision to establish a single payer of healthcare. A strong
international evidence that its the good ideaPolicies for
healthcare invertentions applications of economic evaluations in
them. Developing immunization, public health, increasing middle
income countries in health technologies assessment (drugs,
devices), clinical practice guidelines with a strong economic
component alongside a clinical evidencePublic health, social care,
HTA, Use of economic evaluation within HTA. Has been practiced
since 1980s. big change from that was HTA more close relate to
reimbursement, what kind of treatments and services what we
actually pay for in healthcare system. Produce a report, published,
distributed, but no clear link to health policy makers. No obvious
consequences of doing HTAIncreasing of economic component in HTA.
Doing the study becoming hardwire to the decision making in
healthcare. Economic evaluation is included in HTA. Is there any
evidence that economic component have a positive impact in that?
Any successful practice in HTA including economic component?1991
Australia say that they would request economic evaluations for
reimbursing pharmaceuticals in their pharm formulary. Why focus on
pharmaceuticals? In a high income country, pharmaceuticals 5-15%
expenditure, higher than middle income country. No reason to focus
on one sector. Country who take HTA seriously take care all
healthcare interventions. Adopt surgical procedure including
economic component/evaluation, which procedure to make. Has it made
difference in the provision of healthcare?What wouldve happened if
there was no economic of evaluation?The nightmare
counterfactual/critiques:Attention to expensive medications is
bigger,. Cost effectiveness has become an important decision making
criteria. The main impact is restricting reimbursement to patient
based on cost effectiveness.
