ISPOR 8th Annual European Congress
6-8 November 2005, Palazzo Degli Affari, Florence, Italy

Sunday, 6 November 2005, Pre-Meeting Short Courses

 

SUNDAY MORNING COURSES  8:00-12:00: 

Use of Pharmacoeconomic / Economic / Outcomes Research Information (AM) 8:00-12:00

Elements of Pharmaceutical Pricing

Faculty: Jack Mycka, President, Optimar Strategic Consulting LLC, Montclair, NJ, USA; Renato Dellamano PhD, President, ValueVector (Value Added Business Strategies), Milan, Italy

Course Description: This course is designed to cover the elements of pharmaceutical pricing decisions. It will cover the issues, information and processes employed and the role of pharmacoeconomics in helping to shape pricing decisions. This course will be interactive and is designed for those with some experience in either pharmacoeconomics or pharmaceutical pricing.


Pharmacoeconomics / Economic Methods (AM) 8:00-12:00 

Transferability of Cost-Effectiveness Data between Countries

Faculty: Michael Drummond PhD, Director, University of York, Centre for Health Economics, York, UK;
Andrea Manca PhD, MSc, Wellcome Trust Fellow in Health Services Research, Centre for Health Economics, University of York, York, UK; Marco Barbieri MSc, Associate Lecturer and Research Associate, University Pompeu Fabra and Innovus Research (UK) Ltd, Barcelona, Spain; Samuel Aballea MS, Research Analyst, Innovus Research (UK) Ltd, High Wycombe, UK

Course Description:  Although the number of countries requiring an economic dossier as part of the submission dossier for public reimbursement of new drugs is growing, the pharmaceutical industry cannot conduct economic evaluations in every potential market. Clinical trials are increasingly done in international settings in order to quickly recruit a sufficient number of patients and to have at least some economic data from multiple countries. However, national decision makers require country-specific or region-specific data on health care costs and are only willing to accept foreign data or international data when they are translated to their own specific setting. But guidelines on how to do this do not exist. This course starts with a discussion of factors that make economic data more difficult to transfer from one country to other countries than clinical data. Then we will review the methods that have been presented to offer a solution to this problem and their pros and cons. These methods include various types of regression-based methods and Markov models. This course is for those with basic understanding of cost calculation and modeling.
 

Use of Pharmacoeconomic / Economic / Outcomes Research Information (AM) 8:00-12:00

Health Care and Reimbursement Systems in Europe

Faculty: Gordon Carey MS, MBA, Cambridge Pharma Consultancy Ltd., Cambridge, UK; Chris Francis BSc, Analyst, Cambridge Pharma Consultancy, Cambridge, Cambridgeshire, UK

Course Description: This course will describe and compare various European health care systems, and will include information on health care financing and resource allocation mechanisms. Various issues encountered when defining benefit packages or introducing new health care technology will be discussed. The course will also cover newer developments in European health care system organization and management, such as provision and purchaser-provider splits. This includes a discussion of the current role of health technology assessment and health economic analysis for reimbursement decisions in Europe. Participants will have the possibility to apply the taught course contents in a country-specific case study. This course is designed for those with little experience with health care systems and reimbursement in Europe.
 

Modeling (AM) 8:00-12:00

Bayesian Methods in Economic Evaluations

Faculty: Anthony O'Hagan PhD, Professor of Statistics, University of Sheffield, Sheffield, South Yorkshire, UK;
Jeremy E. Oakley PhD
, Lecturer, Department of Probability and Statistics, University of Sheffield, Sheffield, UK;
John Williams Stevens BSc
, Statistician, AstraZeneca, Leicestershire, UK

Course Description: This course is designed to provide an overview of the Bayesian approach and its application to health economics and outcomes research. The course will cover basic elements of Bayesian statistics, discuss differences between Bayesian and classical (frequentist) approaches, and demonstrate how to apply the Bayesian approach to clinical trials and cost-effectiveness analyses. Available software will be discussed, and examples of studies will be presented. This course is for those with a basic appreciation of statistics and probability.

Discrete Event Simulation for Economic Analyses

Faculty: J.Jaime Caro MDCM, FCRPC, FACP, Adjunct Professor of Medicine, Adjunct Professor of Epidemiology and Biostatistics, McGill University, Montreal PQ and Scientific Director, Caro Research Institute, Concord, MA, USA;
Jörgen Möller MSc, Mech Eng, Simulation Specialist, Caro Research Institute, Concord, MA, USA

Course Description: This course will provide a basic understanding of the key concepts of discrete event simulation. The focus will be on the use of these simulation models to address pharmacoeconomic (and device-related) problems. The course will be structured around practical exercises. Topics to be covered are: Why DES? Dynamic simulation as a tool; Components of a DES; How do you build a model? Modeling of processes and resource use; modeling of variables and decisions. It will address the ISPOR Task Force Reports on Good Research Practices – Modeling Studies / Cost-Effective Analysis alongside Clinical Trials. If time permits, simple animation will be demonstrated. We will use ARENA to build simple models. Participants who wish to have hands-on experience should bring their laptops. Instructors will distribute training versions of Arena. After the course the participants should understand how to interpret the results of a DES and have an understanding of simulation as a tool - how, where and when to use it. The participants should also be able to map simple dynamic processes in ARENA and build simple models.
 

Quality of Life / Patient-Reported Outcomes / Preference-based Methods (AM) 8:00-12:00 

Utility Measurements (Preference-Based Techniques)

Faculty: Jan Busschbach PhD, Senior Investigator, Department for Medical Psychology and Psychotherapy and Erasmus Medical Center, Rotterdam, The Netherlands; Elly Stolk MSc, Institute for Medical Technology Assessment (iMTA), Erasmus University Medical Center Rotterdam, The Netherlands.

Course Description: Utility measurement is a method of determining an individual's preference for a certain outcome represented by a quantitative score (utility). During this course, methods for measuring preference-based outcomes like the standard gamble, time trade-off, and visual analogue scale will be demonstrated. Utility measurement however is not only about mastering these techniques; it is about using them in such a way that health care decision makers can apply the results, for instance in QALY-analyses. For this purpose, one needs to be aware of shortcomings of the available utility measures and potential solutions. Furthermore one should be aware of the decision-making context and the way results are interpreted. To equip participants with expertise in the field of utility measurement, the most important issues will be discussed: for instance we will consider potential insensitivity of generic instruments for particular disease specific problems, and discuss to what extent adaptation of generic or disease-specific quality of life instruments may offer a solution. This will be demonstrated with an exercise. Also the issue of "whose values count: patient values or values from the general public?" will be discussed. Finally we turn to the interpretation in the context of resource allocation. This course is for those with some experience with quality-of-life measures in health economic evaluation.

 


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