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Decision and Cost-Effectiveness
Analysis in Medicine
EPI 213 Winter 2009 (2 units)
Course Director: James G. Kahn, MD, MPH
Professor, Department of Epidemiology & Biostatistics
| OBJECTIVES |
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Decision and cost-effectiveness analysis are the tools used
in medicine to formally portray clinical and policy decisions. Decision
analysis estimates the health consequences of alternative courses of action.
Cost-effectiveness analysis estimates economic costs per gain in health
status. The objectives of this course are to give trainees the following
knowledge and skills:
- Understand the principles of decision analysis (DA), including decision
trees to portray action options and their consequences.
- Understand the principles of cost-effectiveness analysis (CEA),
including health and cost inputs and cost-effectiveness ratios.
- Understand uncertainty, how it is quantified, and how it is
addressed in DA/CEA.
- Understand disease state (Markov) modeling and its uses.
- Understand and experience steps in conducting a DA/CEA.
- Use a computer spreadsheet to do DA/CEA computations.
- Design a DA/CEA in an area of expertise.
- Know how to critique published DA/CEAs, including structure,
inputs, and findings.
| PREREQUISITES |
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Designing Clinical
Research (Epi 202) and working familiarity with MS Excel, including
navigation through a workbook and basic entry/copy/paste functions, and
willingness to learn graphing and other functions. Exceptions to these
prerequisites may be made with the consent of the Course Director, space
permitting.
| FACULTY |
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| Course Director: |
James G. Kahn, MD, MPH
Phone: 415-476-6642
email: jgkahn@ucsf.edu
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| Lecturers: |
James G. Kahn, MD, MPH
Phone: 415-476-6642
email: jgkahn@ucsf.edu
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Miriam Kuppermann, PhD, MPH
Phone: 502-4089
email: kuppermannm@obgyn.ucsf.edu
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Kevin J. Bozic, MD, MBA
Phone: 415-476-3900
email: kevin.bozic@ucsf.edu
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S. Claiborne Johnston, MD, PhD
Phone: 415-502-7487
email: clay.johnston@ucsfmedctr.org
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Elliot Marseille, DrPH, MPP
Phone: 925-254-5379
email: emarseille@comcast.net
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Leslee Subak, MD
Phone: 415-353-9758
email: subakl@obgyn.ucsf.edu
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Brian Harris
Phone: 916-813-8553
email: brianharris1113@hotmail.com
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| Section Leader: |
James G. Kahn, MD, MPH
Phone: 415-476-6642
email: jgkahn@ucsf.edu
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| Grader: |
Brian Harris
Phone: 916-813-8553
email: brianharris1113@hotmail.com
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| FORMAT |
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Lectures: 6 core sessions on methods, 4 guest lecturers
on cost-effectiveness research topics.
Sections: 6 sessions. Review of homework assignments,
discussion of questions from lecture or syllabus.
Schedule: Thursday afternoons (usually 1:00-2:30
and 2:45-4:15), January 8- March 19.
| TEXTBOOK |
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Methods for the Economic Evaluation of Health Care
Programmes by M F Drummond, B O'Brien, G L Stoddart and G W Torrance.
Oxford Medical Publications. 2nd Edition. 1997.
| GRADING |
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Grades will be based on total points achieved on homework
(~40% each for mammography programmed exercise and development of own
DA/CEA) and the final exam (~20%). Since the homework assignments build
on prior assignments, it is essential to do each one and to stay on time.
Late assignments will be sharply down-graded according to lateness. The
two lowest scores are dropped.
Homeworks will usually be sent electronically to the section leader and/or
to the grader Brian Harris, with feedback electronically.
| ENROLLMENT |
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This course is open to a limited number of individuals outside
of the ATCR and Master's programs. Preference is given to UCSF-affiliated personnel.
We regret that auditing is not permitted. To apply for this course please fill
out and submit the application below. Cost and submission information are in
the application.
Application
(Word doc, 20KB)
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