60 likes | 195 Views
A Local Tool to Assess the C-E Ratio of Alternative Prevention Strategies. Health Economics (MPH) Spring 2008 University of Copenhagen Prepared by: Niels Boye. Background. Structural reform + New Healh Act gives LA reponsibility for local prevention
E N D
A Local Tool to Assess the C-E Ratio of Alternative Prevention Strategies Health Economics (MPH) Spring 2008 University of Copenhagen Prepared by: Niels Boye
Background • Structural reform + New Healh Act gives LA reponsibility for local prevention • Pharmacies may be key partner for LA as provider of healthcare and of training • Objective: Better compliance for elderly people 65 years+ using more than 5 med. • Tool: Medical assessment (individual) + Training of personnel (groups) + Quality Control of routines (carehomes).
Conceptual Framework • Simple input-output model (indicator) to calculate costs and benefits related to the intervention incl. costs and benefits of alt. interventions • Define key parameters (evidence reports) • Intervention scenarios • Demonstrate how C-E Ratios might change if the values of key parameters in a model change
Method – ”Dogme regler” • All data is existing and free of charge • Data from official sources and opdated regularly (yearly/bi-yearly) • Data at local level (reg. / nat. / int.) • Only economic Costs and Benefits no value on extra Quality of Life • No unrelated medical cost, e.g. - healthcare cost in additional years - consumption in additional years
Summary • C-E Ratio of Pharmaceutical Care = - 0,35 (ROI 300 pct.) • Pot. economic gain = Euro 312 per person / 50 mio. (140.000 people 65+) • Extra Quality of Life (Compliance) • Political: Better Public Health • Next step: Local evidence based on local context (establish local evaluation-networks with joint database)