FIRST ISPOR ASIA-PACIFIC CONFERENCE – DAY 2

Wednesday, 3 September

8.00-9.00 PRESENTATIONS POSTER VIEWING
reception hall, 3rd floor
  Poster Presentations
9.00-11:00 SECOND PLENARY SESSION
9:00 – 9:15

INTERNATIONAL COMPARISON OF HEALTH CARE REIMBURSEMENT SYSTEMS AND USE OF PHARMACOECONOMICS IN THE REIMBURSEMENT PROCESS
international conference room 301

Moderator: Kenneth KC Lee PhD, Professor & Head, Division of Pharmacy Practice, Pharmacy Department, The Chinese University of Hong Kong, Shatin, Hong Kong
 

9:15 – 9:30 HEALTH CARE REIMBURSEMENT SYSTEMS AND USE OF PHARMACOECONOMICS IN JAPAN

Speaker: Makoto Shiragami PhD, Nihon University, College of Pharmacy, Social and Administrative Pharmacy Science, Chiba, Japan
 

9:30 – 9:45 HEALTH CARE REIMBURSEMENT SYSTEMS AND USE OF PHARMACOECONOMICS IN CHINA

Speaker: Zhiqiang Guan MD, Head of Health Insurance Research Department, National Institute of Social Insurance, Ministry of Labor and Social Security, Beijing, China
 
9:45 – 10:00 HEALTH CARE REIMBURSEMENT SYSTEMS AND USE OF PHARMACOECONOMICS IN KOREA

Speaker: Bong-min Yang PhD, Seoul National University, School of Public Health, Seoul, Korea
10:00 – 10:15 HEALTH CARE REIMBURSEMENT SYSTEMS AND USE OF PHARMACOECONOMICS IN SINGAPORE

Speaker: Shu Chuen Li MBA, PhD, Assistant Professor, Department of Pharmacy, National University of Singapore, Singapore, Singapore
 
10:15 – 10:30 HEALTH CARE REIMBURSEMENT SYSTEMS AND USE OF PHARMACOECONOMICS IN THAILAND

Speaker: Nathorn Chaiyakunapruk PharmD, PhD, Instructor, Naresuan University, School of Pharmacy, Pitsanuloak, Bangkok
 
10:30 – 10:45 HEALTH CARE REIMBURSEMENT SYSTEMS AND USE OF PHARMACOECONOMICS IN TAIWAN

Speaker: Yen-Huei (Tony) Tarn PhD, Associate Professor, School of Pharmacy, National Defense Medical Center, Taipei, Taiwan
 
10:45 – 11:00 Question & Answer
11:00-11:30 BREAK AND PRESENTATION POSTER VIEWING
  Poster Presentations
11:30-12:30 WORKSHOP SESSION III  (4 concurrent sessions)
  Clinical Studies room 402, 4th floor
W9 NUMBER NEEDED TO TREAT (NNT): IS IT A USEFUL BENCHMARK FOR THE EFFICIENCY OF THERAPIES?

Caro J1, Huybrechts K1, Kamae I2, 1Caro Research Institute, Concord, MA, USA; 2Kobe University, Kobe, Japan

Learning Objective: In this workshop, origin and properties of NNT will be reviewed and methods will be examined to indicate if they meet criteria for a useful decision-making tool.
Workshop Description: The NNT the reciprocal of the absolute risk reduction — was introduced in 1988 as an "easily understood yardstick to describe the harm as well as the benefit of therapy and other clinical maneuvers". Although presented as a tool to facilitate clinical decision-making, its use in public decision-making was already hinted at in this first publication. The NNT has since been portrayed as a first approximation to more complex measures such as cost-utility ratios, which are considered the ultimate goal of Evidence Based Medicine, and NNT-based league tables have been presented. In this workshop we will review the origin and properties of the NNT and evaluate whether it indeed meets the criteria of a useful decision-making tool: comparative, easy to understand and calculate, standardized. Although the first three criteria appear to be met, we will demonstrate how the modifications proposed over the years to address the shortcomings of the original NNT in terms of standardization have greatly increased its complexity while major issues of standardization remain. We will also introduce a new odds method to address the common misinterpretation that treating the number of patients implied by the NNT will "certainly" — instead of "statistically" — prevent one adverse event. Throughout this critical evaluation phase, direct input from the workshop participants will be solicited. We will conclude by presenting our approach to calculate an "adjusted" NNT for public health use.

 
  Pharmacoeconomics room 403, 4th floor
W10 COST OF ILLNESS STUDIES: TOP DOWN OR BOTTOM UP?

Einarson T1, Iskedjian M
2, 1University of Toronto, Toronto, ON, Canada; 2PharmIdeas Research and Consulting Inc, Oakville, ON, Canada

Learning Objectives: Review and examine cost of illness studies while being able to provide assessment to selected published studies.
Workshop Description: Among topics to be covered will be: definitions/types (cost of illness, burden of illness), types of outcomes (economic, clinical, humanistic), resource determination, costing and valuation, costing methods (micro-costing, macro-costing), costing of productivity loss (human capital method, friction method), level of analysis (global, country, group, patient), Epidemiologic approach (prevalence, incidence), data collection approach (top down, bottom up), modelling approach (model, retrospective, prospective). First part: Formal lecture with examples. Participants will be provided handouts. Second part: Interactive hands-on assessment of selected published Cost of Illness studies. Participants will be provided articles and a checklist for their assessment.
 
  Quality of Life room 401 4th floor
W11 QUALITY OF LIFE IS DIFFERENT IN ASIA: ISSUES TO CONSIDER WHEN DEVELOPING AN INSTRUMENT IN ASIA, EUROPE AND THE US

Abetz L1, Crawford B2; 1Mapi Values, Cheshire, UK; 2Mapi Values, Boston, MA, USA

Learning Objectives: Review methods that would be acce pt able for use in countries with developing in struments and provide examples of different and simil ar sit uat ions noticed in previously conducted research.
Workshop Description: This workshop will review methods that would be acceptable for use across a range of countries when developing instruments. Emphasis will be placed on cultural differences that would require alteration of ‘standardised’ methods and ways this can be accomplished without sacrificing scientific integrity. Specifically, differences and similarities in per forming qualitative research, developing items, and deciding upon re l e vant domains will be discussed. Practical examples will be provided by the workshop leaders, based on their experience. The workshop participants will also be asked  o provide their own examples of differences and similarities that they have noticed in conducting PRO research.
 
  Health Policy International Conference Rroom 301, 3rd floor
W12 PHARMACOECONOMICS IN PRICING AND REIMBURSEMENT IN ASIA-PACIFIC COUNTRIES: THE ISSUES

Liu G1, Guan Zhi-qiang2, Shiragami M3, Yang BM4Tarn YH5, 1University of North Carolina at Chapel Hill, Chapel Hill, NC, USA, 2National Institute of Social Insurance, China, 3Nihon University, Chiba, Japan, 4Seoul National University, Seoul, Korea, 5National Defense Medical Center, Taipei, Taiwan

Learning Objectives: This workshop will review how pharmacoeconomic data is being used in pricing and reimbursement policies in several Asia-Pacific countries.
Workshop Description: Pharmacoeconomics and outcomes research data have been widely used for medic l decision and health policy making in both private a nd public sectors across many Western regions, including US, Canada, England, and Australia. However, little is known about the extent to whi h such data is being used in Asia Pacific nations. Yet given the strong and growing economies in this region, it see ms indisputable that the use of pharmacoeconomics data has a great potential in the Asia Pacific market. In fact, such a trend has been illuminated by a number of recent governnment-led healthcare reforms in some Asia Pacific nations, including Japan, China, Taiwan, Korea, and Singapore. As a result, pharmacoeconomics data seems to begin playing an increasing role in national pricing and reimbursement decisions in these nations. This panel will invite several leading
experts in this area to share theirs views of how pharmacoeconomics data are being used in pricing and reimbursement policies, and how they perceive a likely future trend to take place in these nations. The panel discussion also will serve as a great forum to exchange information and insights between the panelists and audience on pharmaceutical pricing and drug formulary decisions in the Asia Pacific market .
 

12.30 – 13.00 CLOSING REMARKS
 
Presented by Conference Co-chairs:
Isao Kamae MD, DrPH, Kobe University, Kobe, Japan
Naoki Ikegami MD, MA, Keio University, Tokyo, Japan
Shuzo Nishimura PhD, Kyoto University, Kyoto, Japan

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