Table of Contents

 

 

 

PART I

BASIC TOPICS

 

Chapter 1

Introduction

1

 

Pharmacoeconomics—What is It?

2

 

Why is Pharmacoeconomics Important?

2

 

Relationship of Pharmacoeconomics to Other Research

3

 

Types of Pharmacoeconomic Studies

4

 

Summary

7

 

Question’s/Exercises

7

 

References

8

 

Suggested Readings

8

Chapter 2

Measuring and Estimating Costs

9

 

Costing Terms

10

 

Cost Categorization

10

 

Alternative Method of Categorization

12

 

Perspective

13

 

Timing Adjustments for Costs

13

 

Resources for Cost Estimations

17

 

Summary

22

 

Questions/Exercises

22

 

References

23

 

Suggested Readings

23

Chapter 3

Critiquing Research Articles

25

 

Appropriateness of Methods of Analysis

26

 

Questions to Use when Critiquing Research Articles

26

 

Summary

32

 

Questions/Exercises

32

 

References

33

 

Suggested Readings

34

Chapter 4

Cost-Minimization Analysis

35

 

Overview of Cost-Minimization Analysis

36

 

Summary

37

 

Composite Article: CMA

38

 

Questions/Exercises

43

 

Reference

45

 

Suggested Readings

45

Chapter 5

Cost-Effectiveness Analysis

47

 

Overview of Cost-Effectiveness Analysis

48

 

Presentation of Costs and Effectiveness

48

 

Cost-Effectiveness Grid

49

 

Cost-Effectiveness Plane

51

 

Intermediate Outcomes versus Primary Outcomes

55

 

Efficacy versus Effectiveness

56

 

Consensus and Debate

56

 

Summary

57

 

Composite Article: CEA

57

 

Questions/Exercises

65

 

References

65

 

Suggested Readings

65

Chapter 6

Cost-Utility Analysis (CUA)

67

 

Overview of Cost-Utility Analysis

68

 

Steps in Calculating QALYs

68

 

Summary

73

 

Composite Article: CUA

78

 

Questions/Exercises

85

 

References

86

 

Suggested Readings

87

Chapter 7

Cost-Benefit Analysis

89

 

Definition and History

90

 

Advantages and Disadvantages of Cost-Benefit Analysis

90

 

Conducting a Cost-Benefit Analysis

91

 

Difference Between Costs versus Benefits

92

 

Measuring Indirect and Intangible Benefits

93

 

Calculating Results of Costs and Benefits

98

 

Summary

100

 

Composite Article: CBA

101

 

Questions/Exercises

108

 

References

109

 

Suggested Readings

109

Chapter 8

Health-Related Quality of Life: Health Status Measures

111

 

Definitions

112

 

Health-Related Quality of Life: Utility Measures versus Health Status Measures

112

 

Domains of Health Status

115

 

Assessing Health Status Instruments

117

 

Pharmacoeconomics and Health Status Measures

119

 

Patient-Reported Outcomes

120

 

Summary

120

 

Composite Article: HRQOL

121

 

Questions/Exercises

128

 

References

132

 

Suggested Readings

134

Chapter 9

Decision Analysis

135

 

What is Decision Analysis?

136

 

Steps in Decision Analysis

136

 

Threshold Analysis

140

 

Summary

143

 

Composite Article: Decision Analysis

145

 

Questions/Exercises

152

 

References

153

 

Suggested Readings

153

Chapter 10

Markov Modeling

155

 

Overview of Markov Modeling

156

 

Steps in Markov Modeling

156

 

Disadvantages of Markov Modeling

162

 

Advanced Issues

163

 

Summary

164

 

Composite Article; Markov Modeling

165

 

Questions/Exercises

173

 

References

175

 

Suggested Readings

175

Chapter 11

Retrospective Databases

177

 

Overview of Retrospective Databases

178

 

Randomized, Controlled Trials

178

 

Observational Studies

178

 

Advantages and Disadvantages of Randomized, Controlled Trials

178

 

Advantages and Disadvantages of Observational Studies

179

 

Types of Retrospective Databases

181

 

Critiquing Retrospective Database Studies

184

 

Summary

185

 

Composite Article: Retrospective Database

186

 

Questions/Exercises

193

 

References

194

 

Suggested Readings

195

Chapter 12

Pharmacy Services

197

 

What are Pharmacy Services?

198

 

History of Pharmacy Services

198

 

Review of the Research

198

 

Issues in Valuing Pharmacy Services

201

 

Medicare Medication Therapy Management

202

 

Summary

204

 

Composite Article: Pharmacy Services

205

 

Questions/Exercises

212

 

References

213

 

Suggested Readings

215

Chapter 13

International Perspective

217

 

Health Care Expenditures

218

 

Comparability of Pharmacoeconomic Results Between Countries

218

 

History of Pharmacoeconomic Guideline Development

218

 

Summary

223

 

Questions/Exercises

224

 

References

225

 

Suggested Readings

226

Chapter 14

Future Issues

227

 

Application of Pharmacoeconomics in the United States

228

 

Federal Agencies

228

 

Private Health Care Plans

229

 

Barriers to Pharmacoeconomics in the United States

230

 

Other Future Issues

231

 

Summary

233

 

Questions/Exercises

234

 

References

234

 

Suggested Readings

235

 

Glossary

237

 

Index

243