Pharm Care/management Test 4 Coi

Front 1

COI doesn't... (cost-ILLNESS)

Back 1

does NOT care about outcomes just about COST

Front 2

COI measures... (2) (cost-ILLNESS)

Back 2

1)economic burden of disease and illness
2)measures direct medical and non-medical resources consumed

Front 3

Jack Webb and the...

Back 3

copper clappers

Front 4

____ costs included in COI (2); and is ___ focused...
(cost-ILLNESS)

Back 4

1)indirect costs of morbidity and mortality
2)intangible cost consider where possible

DISEASE focused NOT intervention focused

Front 5

How does COI assist decision makers? (2)
(cost-ILLNESS)

Back 5

1)determine how HC resources are being consumed
2)determines areas when intervention is needed

Front 6

COI is a ____ tool
(cost-ILLNESS)

Back 6

fundamental BASIC economic analysis tool

Front 7

Applications of COI (6)
(cost-ILLNESS)

Back 7

1)visualization of expenditures across diseases and within disease (direct/indirect/intangible costs)
2)highlight pattern of HC spending across diseases and highlights imp. of indirect costs
3)establish informed priorities for policy making
4)do NOT indicate efficency or effectiveness
5)est. baseline estimates for evaluating effectiveness of interventions
6)ID diseases that have significant impact

Front 8

COI is used by...(3)
(cost-ILLNESS)

Back 8

1)advocacy groups
2)policy makers
3)decision makers

Front 9

Scope of COI can vary
a)broad
b)narrow (3)
(cost-ILLNESS)

Back 9

a)measure full economic burden
b1)estimate one aspect of disease burden
b2)a specific location
b3)specific disease subset

Front 10

COI cost considerations will...
(cost-ILLNESS)

Back 10

depend on scope and perspective taken

Front 11

2 primary COI methods
(cost-ILLNESS)

Back 11

1)prevalence based approach
2)incidence based approach

Front 12

Incidence based COI
a)estimates...
b)difficult to do b/c...of...(3)
c)more useful for...
d)provides a more accurate...
(cost-ILLNESS)

Back 12

a)LIFETIME disease costs
b)limited knowledge of lifetime costs, disease progression, treatment patterns
c)CHRONIC DISEASES
d)baseline to eval the benefit of long-term treatment or prevention programs

Front 13

Prevalence based COI
a)includes...
b)best used when...
c)is...
d)get data from...(2)
(cost-ILLNESS)

Back 13

a)all ppl diagnosed
b)total economic and clinical effect can be measured within time period of analysis
c)more commonly used than Incidence based COI
d1)Natl center for health stats
d2)national health survey

Front 14

Cornerstore of COI
(cost-ILLNESS)

Back 14

DEFINING THE DISEASE

Front 15

Defining the disease in COI (2)
(cost-ILLNESS)

Back 15

1)rely on exisiting disease definitions
2)used international classification of diseases, 9th edition (ICD9)

Front 16

ICD-9 disease coding
a)desc (2)
b)reqd in USA for: (2)
c)widely used by...
(cost-ILLNESS)

Back 16

a1)derived from WHO
a2)classifies into major disease categories

b1)death reports
b2)PHS and HCFA reporting

c)by HC organizations to link diagnosis, billing and resource use data

Front 17

For COI ___ is critical
(cost-ILLNESS)

Back 17

understanding disease epidemiology (how disease spreads in person and population)

Front 18

COI other methods (2)
(cost-ILLNESS)

Back 18

1)est a clear and appropriate time period for analysis
2)est demographic profile of pts afflicted

Front 19

COI direct costs (3)
(cost-ILLNESS)

Back 19

1)medical expenditures
2)non-medical expenditures
3)calculating direct costs requires extensive knowledge of disease treatment

Front 20

COI indirect costs (4)
(cost-ILLNESS)

Back 20

1)loss in productivity b/c of disease
2)Lost personal earnings most commonly used
3)measure days of lost work (temp absence)
4)net present value of potential earnings (permanent absence)

Front 21

COI indirect cost loss of productivity is measured by...
(cost-ILLNESS)

Back 21

measured by decr output or GNP associated w/ loss of individual from work force

Front 22

COI indirect costs
a)underlines...
b)undervalues...
(cost-ILLNESS)

Back 22

a)underlines importance of labor to society and nation
b)undervalues illnesses affecting elderly and/or unemployed

Front 23

COI indirect costs Human Capital Approach (3)
(cost-ILLNESS)

Back 23

1)assumption that person's productive combination to society is measured by that person's individual earnings
2)does NOT account for imperfections in labor market
3)undervalues old, young, women, minorities

Front 24

COI indirect costs and WTP
a)desc
b)strength
(cost-ILLNESS)

Back 24

a)survey ppl regarding WTP to reduce probabililty of death/morbidity
b)IS THE ONLY WAY TO measure entire range of indirect and intangible benefits (pain, suffering

Front 25

COI indirect costs and WTP weaknesses (4)
(cost-ILLNESS)

Back 25

1)difficult to apply
2)assumes ppl well informed and capable to make decisions
3)artificial lab results may NOT reflect real life decisions
4)can be affectd by individual earnings and wealth

Front 26

COI and intangible costs (4)
(cost-ILLNESS)

Back 26

1)measures impact of disease on QOL (stress/pain)
2)QOL instruments measure impack
3)cost of impact on QOL is difficult
4)RARELY used, usually considered separately

Front 27

Evaluating COI results (3)
(cost-ILLNESS)

Back 27

1)Look @ PERSPECTIVE TAKEN
2)Perspective can dictate disease ID/def
3)Perspective can also dictate costs (direct med/non-med, indirect, intangible)