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Epi 213 Decision and Cost-Effectiveness Analysis (DCEA)

Epi 213 Decision and Cost-Effectiveness Analysis (DCEA). Introduction & Overview 10 Jan 2013. Today. Introductions (15 min) Course staff Students Course overview (30 min) Lecture - Decision Trees (60 min) Discussion (15 min). DCEA 2013 Staff. James G. Kahn, MD, MPH. Home

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Epi 213 Decision and Cost-Effectiveness Analysis (DCEA)

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  1. Epi 213 Decision and Cost-Effectiveness Analysis (DCEA) Introduction & Overview 10 Jan 2013

  2. Today • Introductions (15 min) • Course staff • Students • Course overview (30 min) • Lecture - Decision Trees (60 min) • Discussion (15 min)

  3. DCEA 2013 Staff

  4. James G. Kahn, MD, MPH • Home • UCSF - Institute for Health Policy Studies, Dept of Epidemiology and Biostatistics, Global Health Sciences. • Mission • How can we best spend health care dollars to improve health? • Thus – projects on efficiency in intervention choice & service delivery

  5. Cost-effectiveness of Male Circumcision for HIV Prevention in South Africa

  6. GHD – web-based resource allocation tool

  7. Other DCEA team introductions • DhruvKazi, MD, MSc, MS, Asst Prof, Cardiology, SFGH • Reto Auer, MD, Postdoc, DEB • David Schopfer, MD, Fellow, Cardiology • Janelle Downing, MS, UC Berkeley

  8. DCEA students • TICR – MCR / ATCR – 17 • Global Health Masters – 8 • Other (mainly clinical) - 3 … and quick introductions

  9. DCEA structure • Six cycles of lecture + section: • Decision trees • Valuing health: QALYs/DALYs • Adding costs: Cost-effectiveness • Markov disease-state modeling • Data inputs • Sensitivity analyses • Sections: • Review HW (10 min) • Review student projects – 10 min each - structured summary / critique / discussion • Special topics: • Excel & TreeAge tutorial • HIV, CV • Behavioral economics • Other TBD

  10. DCEA student work & grading • Readings – prioritize Lecture Notes over articles • Homework / problem sets (5) • Mainly on mammography • First is open-ended, then 3 programmed (excel) • One on CEA article review • Skip cycle 5 (data inputs) • Value: 50 points (10 each) – late homework downgraded • Own project – DA / CEA • Design & implement simple CEA. • Start with Excel templates; ok to use other software • Each cycle, add new element (and update), feedback from mentor • By end, have complete simple DA/CEA • Typically solo; can work in pairs if add partial manuscript • Given preliminary score and chance to refine • Value: 50 points • Final exam • Optional, if needed due to missed HW(s)

  11. DCEA Mentors

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