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Health
Economics
Health
Economic
Evaluation
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Konsekuensi A
Cost A Program A
Choice
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No Yes
Partial Evaluation
Hanya mengukur Hanya mengukur
konsekuensi biaya
No 1A Partial 1B Partial Partial evaluation
evaluation evaluation
Apakah ada Deskripsi Cost-outcome
perbandingan Gambaran Gambaran Cost
alternatif? outcome
Yes 3A Partial 3B Partial Full economic
evalution evaluation evaluation
+ Cost Analysis 8
But,
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Cost-Effectiveness Analysis
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+ Easy to understand.
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Cost-Utility Analysis
n Numerator = cost.
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Cost-Benefit Analysis
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CBA Approaches
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Study Intervention A
Intervention A: necessary Optimal Strategy:
More Effective Study not
necessary
Intervention B is
Intervention A: Optimal Study
Less Effective Choice: Study necessary
not necessary
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Pengukuran HRQoL
Advantage Disadvantage
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QALY =
0.75 Additional life years gained x Utility
n A
patient survives 20 yrs after leg
0.5
amputation
0.0 = Death
2. Dengan intervensi
Perfect health = 1.0
1. Tanpa intervensi
Health-related
quality of life
(Utility weights) QA
LY
s ga
ine
d
Duration
Death = 0.0 (Years of life)
Y1 Y2
Death 1 Death 2
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Cost analysis
$s per output
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Kasus
n Misalkan suatu program kesehatan mempunyai komponen
cost dan konsekuensi seperti berikut:
Cost Konsekuensi
C1 biaya pelayanan kesehatan Perbaikan kesehatan
$1.000.000 U 10 QALYs
C2 biaya kesehatan di sektor lain W (dengan willingness to pay)
$50.000 $2.000.000
C3 biaya sumberdaya pasien dan S1 saving untuk pelayanan kesehatan
keluarga $5.000 $25.000
C4 Biaya kehilangan produktivitas S2 saving di sektor lain $20.000
$100.000
S3 saving biaya sumberdaya pasien/
keluarga $12.000
S4 saving produktivitas $100.000
Hitunglah: Cost Utility ratio, (untuk sumber daya pelayanan
kesehatan saja dan seluruh sumber daya), Benefit cost ratio
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Referensi
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Terima kasih
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