Title: Applied economic evaluation in health care
Keywords: Research (in general)
Quantitative methods
Informatics (incl.. software use), e-Health
Health economics
Country: Norway
Institution: Norway - Centre for International Health, Universitetet i Bergen
Course coordinator: Bjarne Robberstad
Date start: 2018-01-22
Date end: 2018-02-02
About duration and dates: 2 weeks
Classification: advanced optional
Mode of delivery: Face to face
Course location: Centre for International Health, Bergen, Norway
ECTS credit points: 3 ECTS credits
SIT: 90 hours:
Contact time = 35 hours,
Directed study (group work) = 35 hours,
Self-directed learning (individual) = 20 hours
Language: English
Description:
The module is designed to equip students with knowledge about the basic theoretical foundations of Economic Evaluation, and to enable them with the practical skills to undertake health economic decision modelling.

By the end of the module, students should be able to:
• Know how different types of economic evaluations and modelling techniques can help address policy questions in health care
• describe and discuss issues on measuring and valuing resource use in health and non-health service costs
• describe and discuss issues on measuring and valuing health consequences
• Know the basic requirements for presenting output from economic evaluations, be able to correctly interpret results and discuss how results should be applied in priority setting
• Appraise the quality and usefulness of economic evaluations in low-income settings.
• Compose, plan, build and apply a decision analytic model based on a decision-tree
• Compose, plan, build and apply a decision analytic model based on a Markov life cycle model
• Incorporate and analyse uncertainty through one-way and probabilistic sensitivity analyses
• Understand the basic principles of Expected Value of Perfect Information and Microsimulation analyses
• Synthesise, present, evaluate and interpret cost-effectiveness results
Assessment Procedures:
The course is continuously assessed by 10 mandatory assignments, one assignment per day. and 8 of the 10 daily mandatory assignments must be accepted in order to pass the module. The mandatory daily assessments is a mix of individual and group work, and are focused on demonstrating applied skills. Students will receive grades (A-F) that will appear on the course certificate.

Students who receive an F on the grading are allowed to re-sit the exam by the start of next semester (august) latest.
Content:

Economic evaluation is the comparative science in which health interventions are compared in terms of both their costs and their effectiveness. The module is divided into one theoretical part, where the focus in on developing an understanding the basic principles, potential roles and limitations of economic evaluation, and one practical part with focus on developing economic evaluation modelling skills.

Theoretical (day 1-5)/Practical part (days 5-10):
1. The structure of economic evaluation, different types of economic evaluation, their usefulness and limitations. ICERs, dominance and WTP
2. Costing in economic evaluation
3. Measuring health benefits in economic evaluation. Measures of health, quality of life estimation, use of life tables and survival analysis in economic evaluation.
4. The basics of TreeAge, and building a simple decision tree model
5. Building a simple Markov life cycle model
6. Introducing uncertainty in economic evaluation (theory). Working with variables and tables in TreeAge, and performing simple sensitivity analyses
7. Background of probabilistic sensitivity analyses, making a model stochastic in TreeAge, and interpreting and presenting results
8. Working with large models and Integrating TreeAge with Excel
9. Critical appraisal of economic evaluation
10. The role of uncertainty and risk in economic evaluation, and how uncertainty may influence on choice of methods and interpretation of findings
Methods:
The teaching is based on residential teaching at University of Bergen. Throughout, emphasis is put on providing students with practical skills alongside the theoretical knowledge, to enable them to actually plan and perform an economic evaluation. Each day the students will be given an assignment.

Day 1-5 are largely theoretical, and consists of a mixture of lectures and group work/discussions on the main topics described above. Students are required to participate in group work on assigned topics. This includes daily student active teaching exercises, with alternating group compositions and presentation of results for the class.

Day 6-10 are largely practical, and students will work through exercises on their own laptops on a “learning by doing” principle. Each day will be organised around a number of assignments that must be completed individually. The softwares TreeAge Pro Suite 2013 and Microsoft Excel will be used throughout the module.
Prerequisites:
Good working knowledge of English (TOEFL score of at least 550 points paper-based or 213 points computer-based, or IELTS 6.0). Economists, other social scientists, medical doctors, psychologists, nurses, dentists and others with training at the bachelor level or higher in a relevant subject at a recognized institution can be admitted to the MSc level course. Compulsory use of personal computers with preinstalled software, including MS Excel and TreeAge Pro Suite (student course lisence), available from www.treeage.com
Attendance:
Compulsory attendance in lectures and group work. Maximum number of students: 12.
Selection:
Priority: PhD and Master students working in the field of international public health enrolled at the University of Bergen, in the Erasmus Mundus program and tropEd students who plan to use economic evaluation in their research. Candidates with practical experience from policy making at local, national or international level will be given priority.
Fees:
€70 for students outside the University of Bergen, to cover administrative cost. In addition, the students need to register at the University of Bergen and pay the semester fee of approximately NOK500 (subject to change)
Scholarships:
none
tropEd accreditation:
Accredited in June 2014. This accreditation is valid until June 2019.
Remarks: To Application Form
Email Address: Linda.Forshaw@uib.no
Date Of Record Creation: 2014-06-17 04:10:02 (W3C-DTF)
Date Of Record Release: 2014-06-17 09:31:27 (W3C-DTF)
Date Record Checked: 2017-09-12 (W3C-DTF)
Date Last Modified: 2017-10-10 04:45:04 (W3C-DTF)

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