Session Details

AM11: Cost-Effectiveness Analysis in Child Health

(Event: SMDM 40th Annual Meeting: Montreal, QC, Canada)

Oct 14, 2018 9:00AM - Oct 14, 2018 12:30PM

Session Type: Short Course- AM 1/2 Day

Description

Background

With the increased use of cost-effectiveness analysis (CEA) to inform health budget allocation, challenges in applying standard health economic methods to special populations are becoming apparent. This is especially true in children, for whom measurement challenges abound. Measuring preferences for health states in very young children and modeling costs and outcomes over the lifespan pose particular challenges. In this course, basic principles in pediatric CEA will be reviewed followed by a presentation of key methodological challenges and suggested approaches related to costing, utility estimation, outcome measurement, proxy reporting and analysis.

Course Type

Half Day

Course Level

Intermediate

Format Requirements

The course will consist of a presentation of key content, allowing for interactive discussion of concepts. Following the presentation, a hands-on costing exercise will be performed solo or in pairs, followed by presentation of the exercise solution. The last segment of the workshop will be a whole group interactive design of a pediatric economic evaluation. The workshop will wrap up with a discussion of use of pediatric health economic evidence by decision makers. The course assumes basic knowledge of the design elements of economic evaluation and familiarity with concepts such as costs, consequences, ICER, utility, QALYs and discounting. Modeling expertise is not required. There are no specific course prerequisites.

Overview

In this course, basic principles in pediatric cost-effectiveness analysis will be reviewed followed by a presentation of key methodological challenges and suggested approaches. The course will incorporate recommendations of the 2017 update of the “Washington Panel” Cost-effectiveness in Health and Medicine (Oxford University Press, 2017) and methods advocated in Economic Evaluation in Child Health (Oxford University Press, 2010). The format will be interactive with discussion, exercises and problem-solving. This intermediate-level course will benefit anyone wishing to perform cost-effectiveness analysis of interventions, services or programs directed at children.

Description & Objectives

Specific challenges that will be reviewed and discussed include: capturing the full spectrum of social and physiological impacts, defining outcome measures for the very young, taking developmental change into account, separating parent and child preferences, extending costing beyond the health care system to include school and community resources, determining productivity costs for children, parents and caregivers, setting time horizons, costing stages of development, developing valid and reliable instruments for assessing utility and quality of life in children, using parent proxy measures for costs and outcomes and choosing the appropriate unit of analysis.

The course objectives are to:

To identify and discuss key methodological challenges in the areas of:
- defining and selecting health outcomes
- costing
- measurement
- modeling and analysis
To provide a basic understanding of conducting CEA in children
To share examples of pediatric economic evaluations used in decision-making
To gain hands-on experience by working on exercises and problem-solving

Course Director

Wendy J. Ungar
- Program in Child Health Evaluative Sciences, The Hospital for Sick Children

Course Faculty

Myla Moretti
- The Hospital for Sick Children

Session Fees

	Fee Type	Member Fee	Non-Member Fee
This session is free
	Early:	$200.00	$325.00
	Regular:	$245.00	$370.00
	Late:	$245.00	$370.00
This session is free
	Early:	$170.00	$170.00
	Regular:	$215.00	$215.00
	Late:	$215.00	$215.00