醫療經濟評估
Economic Evaluation in Medicine and Health Care
| 節 | 週二 |
|---|---|
3 10:10–11:00 | 醫療經濟評估 YB101（陽明） 2 節連堂 |
4 11:10–12:00 |
* 根據陽明交大上課時間表所列
在有限資源下,決策者在選擇治療方案時,除了療效考量,亦需考量病人生活品質及成本等面向,近年來醫療經濟評估(如成本效益分析)被廣泛運用來協助決策者衡量醫療科技的價值並進行資源分配。本課程內容旨在介紹醫療經濟評估的方法及應用,並藉由實例探討帶領學生了解醫療經濟評估在真實世界中如何應用於政策決策的輔助。課程中並將介紹如何實際進行醫療經濟評估,配合Excel軟體操作,使學生能融會理論與實務,習得醫療經濟評估決策分析的能力。課程目標包括: (1) 運用實例使學生認識醫療經濟評估在醫療資源配置決策中的角色;(2) 介紹醫療經濟學評估常見的方法與如何解讀及應用於決策輔助; (3) 配合電腦軟體實作培養學生建立決策模型的技能和解釋結果的能力。 With limited resources, decision makers need to take into account not only the efficacy of intervention but also patient’s quality of life and cost while making resource allocation decisions. In recent years, health economic evaluations (such as cost-effectiveness analysis) have been widely used to assist decision makers to evaluate the value of health technology or intervention and to inform resource allocation decisions. This course will introduce the methods and applications of health economic evaluation, and to lead students to understand how health economic evaluation can be used as an aid to policy decision makers in the real world through real cases sharing. The course will also illustrate how to conduct health economic evaluation using Excel software, so that students can integrate theory and practice, and acquire the skill of health economic evaluation model building. The aims of this course include: (1) to orient students to the role of health economic evaluation in decision making related to health care resources allocation; (2) to introduce students to various methods for the health economic evaluation; (3) to provide students with opportunities to develop the skills of building decision models using Excel software and ability of interpreting results.
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本課程之學習成效評量方式包括上課參與度(20%)、電腦實習作業(40%)、期末報告(40%)。 Participation (20%), computer practical assignments (40%), end of term report (40%).
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| 週次 | 主題 |
|---|---|
| 第 1 週 | 醫療科技評估與醫療經濟評估概述 Introduction to Health Technology Assessment and Health Economic Evaluation |
| 第 2 週 | 醫療經濟評估結果呈現與詮釋(I) Health Economic Evaluation: Results Presentation and Interpretation (I) |
| 第 3 週 | 醫療經濟評估結果呈現與詮釋(II) Health Economic Evaluation: Results Presentation and Interpretation (II) |
| 第 4 週 | 效用及生活品質校正生命年之測量:理論與電腦實作(I) Measuring Utility & QALY: Theory and Computer Practice (I) |
| 第 5 週 | 效用及生活品質校正生命年之測量:理論與電腦實作(II) Measuring Utility & QALY: Theory and Computer Practice (II) |
| 第 6 週 | 醫療經濟評估之成本測量:理論與電腦實作(I) Measuring Costs: Theory and Computer Practice (I) |
| 第 7 週 | 醫療經濟評估之成本測量:理論與電腦實作(II) Measuring Costs: Theory and Computer Practice (II) |
| 第 8 週 | Case Study:臨床試驗中的經濟評估研究(I) Case Study: Economic Evaluation in Clinical Trials (I) |
| 第 9 週 | Case Study:臨床試驗中的經濟評估研究(II) Case Study: Economic Evaluation in Clinical Trials (II) |
| 第 10 週 | Case Study:以決策模型為基礎之經濟評估(I) Case Study: Model-based Health Economic Evaluation (I) |
| 第 11 週 | Case Study:以決策模型為基礎之經濟評估(II) Case Study: Model-based Health Economic Evaluation (II) |
| 第 12 週 | 電腦實作練習:決策樹分析 (I) Computer Practice: Decision Tree Analysis by an Excel Add-in (I) |
| 第 13 週 | 電腦實作練習:決策樹分析 (II) Computer Practice: Decision Tree Analysis by an Excel Add-in (II) |
| 第 14 週 | 如何評價經濟評估研究 Critical Assessment of Economic Evaluation |
| 第 15 週 | 電腦實作練習:馬可夫決策模型分析 Computer Practice: Markov Decision Model Analysis |
| 第 16 週 | 經濟評估研究期刊選讀報告 End of Term Report |
| 第 17 週 | Case Study: 醫療科技評估實例選讀(I) Case Study: Health Technology Assessment (I) |
| 第 18 週 | Case Study: 醫療科技評估實例選讀(II) Case Study: Health Technology Assessment (II) |
1. Methods for the Economic Evaluation of Health Care Programmes 3rd ed. 作者:Michael F. Drummond, Mark J. Sculpher, George W. Torrance, Bernie J. O'Brien, and Greg L. Stoddart 出版社:Oxford: Oxford University Press, 2005 2. Applied Methods of Cost-effectiveness Analysis in Healthcare. 作者:Alastair Gray, Philip Clarke, Jane Wolstenholme, Sarah Wordsworth. 出版社:Oxford: Oxford University Press, 2011
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