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This course on Decision and Cost-Effectiveness Analysis (DCEA) provides an introduction to the principles and practices involved in evaluating healthcare interventions. Led by experts from UCSF, it offers insights into decision trees, valuing health outcomes, cost-effectiveness analysis (CEA), and Markov modeling. Students will engage in discussions, lectures, and hands-on projects to apply concepts learned. Topics include health dollars efficiency, intervention choices, and the cost-effectiveness of strategies like male circumcision for HIV prevention.
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Epi 213 Decision and Cost-Effectiveness Analysis (DCEA) Introduction & Overview 10 Jan 2013
Today • Introductions (15 min) • Course staff • Students • Course overview (30 min) • Lecture - Decision Trees (60 min) • Discussion (15 min)
James G. Kahn, MD, MPH • Home • UCSF - Institute for Health Policy Studies, Dept of Epidemiology and Biostatistics, Global Health Sciences. • Mission • How can we best spend health care dollars to improve health? • Thus – projects on efficiency in intervention choice & service delivery
Cost-effectiveness of Male Circumcision for HIV Prevention in South Africa
Other DCEA team introductions • DhruvKazi, MD, MSc, MS, Asst Prof, Cardiology, SFGH • Reto Auer, MD, Postdoc, DEB • David Schopfer, MD, Fellow, Cardiology • Janelle Downing, MS, UC Berkeley
DCEA students • TICR – MCR / ATCR – 17 • Global Health Masters – 8 • Other (mainly clinical) - 3 … and quick introductions
DCEA structure • Six cycles of lecture + section: • Decision trees • Valuing health: QALYs/DALYs • Adding costs: Cost-effectiveness • Markov disease-state modeling • Data inputs • Sensitivity analyses • Sections: • Review HW (10 min) • Review student projects – 10 min each - structured summary / critique / discussion • Special topics: • Excel & TreeAge tutorial • HIV, CV • Behavioral economics • Other TBD
DCEA student work & grading • Readings – prioritize Lecture Notes over articles • Homework / problem sets (5) • Mainly on mammography • First is open-ended, then 3 programmed (excel) • One on CEA article review • Skip cycle 5 (data inputs) • Value: 50 points (10 each) – late homework downgraded • Own project – DA / CEA • Design & implement simple CEA. • Start with Excel templates; ok to use other software • Each cycle, add new element (and update), feedback from mentor • By end, have complete simple DA/CEA • Typically solo; can work in pairs if add partial manuscript • Given preliminary score and chance to refine • Value: 50 points • Final exam • Optional, if needed due to missed HW(s)