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Ana Margarida Barbosa Ribeiro Pereira
Luís Filipe Ribeiro De Azevedo
Bernardo Manuel de Sousa Pinto
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Portuguese – Suitable for English-speaking students
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[ms_accordion style=”simple” type=”1″ class=”” id=””] [ms_accordion_item title=”Objetives” color=”” background_color=”” close_icon=”” open_icon=”” status=”open”]
Decision analysis and cost-effectiveness studies in the health field aim to answer questions related to the applied evidence and the process and technologies involved in decision making in the various contexts of clinical practice, namely, diagnosis, treatment, prevention and prognosis.
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[ms_accordion_item title=”Learning outcomes and competences” color=”” background_color=”” close_icon=”” open_icon=”” status=”open”]
Explain the concept and framework of health technology assessment
Describe the most relevant methodologies and approaches for the evaluation of health technologies
Evaluate technologies used in the prevention, screening, diagnosis, treatment, management and prognosis of the disease
Carry out systematic reviews and meta-analysis in the specific scope of technology assessment
Evaluate technologies from an economic point of view, taking into account their efficiency, defined by the usual methodologies of economic evaluation (cost-benefit analysis, cost-effectiveness analysis and cost-utility analysis)
Know and apply the basic principles of valuing results in technology assessment, through the concepts of preferences and utilities and measures such as QALYs
Know and apply the basic principles of decision analysis – formalization, modeling and quantification of the decision-making process – in Health Technology Assessment
Make decisions on technology assessment, taking into account social and ethical issues
Analyze the implications of Health Technology Assessment in the dissemination of technologies, in clinical practice, in the definition of costs and in research
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[ms_accordion_item title=”Working method” color=”” background_color=”” close_icon=”” open_icon=”” status=”open”]
Presencial
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[ms_accordion_item title=”Pre-Requirements” color=”” background_color=”” close_icon=”” open_icon=”” status=”open”]
Not applicable
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[ms_accordion style=”simple” type=”1″ class=”” id=””] [ms_accordion_item title=”Program” color=”” background_color=”” close_icon=”” open_icon=”” status=”open”]
Health Technology Assessment – definitions and framework.
Methodologies for the assessment of technologies.
Evaluation of technologies used in the prevention, screening, diagnosis, treatment, management and prognosis of the disease.
Evidence synthesis methodology: Systematic reviews and meta-analysis.
Methodologies for economic evaluation of technologies: cost-effectiveness, cost-utility and cost-benefit studies.
Cost evaluation and measurement: types and classifications of costs; cost measurement (identification, measurement of the amount of resources, valuation).
Valuation of results in decision analysis – Preferences and utilities: direct and indirect methods of measuring preferences and utilities; QALYs and other measures combined.
Decision analysis – formalization, modeling and quantification of the decision-making process in Health Technology Assessment: formalization and representation of the problem; construction and interpretation of decision trees; quantitative analysis of a decision tree; exploration of the various sources of heterogeneity and uncertainty in decision analysis.
Social and ethical issues in the assessment of technologies: valuing results.
Implications of Health Technology Assessment in the dissemination of technologies, in clinical practice, in the definition of costs and in research.
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[ms_accordion_item title=”Teaching methodologies” color=”” background_color=”” close_icon=”” open_icon=”” status=”open”]
Theoretical exposition of each topic described for the course;
Literature revision
Group discussion
Individual and group exercises
Use of an e-learning platform optimized for teaching the topics taught in the course.
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[ms_accordion_item title=”Evaluation Type” color=”” background_color=”” close_icon=”” open_icon=”” status=”open”]
Distributed evaluation without final exam
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TreeAge Pro 2020, R2. TreeAge Software, Williamstown, MA; software available at http://www.treeage.com.
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[ms_accordion_item title=”Obtaining frequency” color=”” background_color=”” close_icon=”” open_icon=”” status=”open”]
Presence in 75% of classes.
To obtain approval in the UC, a minimum grade of 9.5 will be required in the final grade (70% Exam + 30% Practical assignments).
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[ms_accordion_item title=”Calculation formula of final grade” color=”” background_color=”” close_icon=”” open_icon=”” status=”open”]
Distributed evaluation with final exam. The evaluation will be carried out using written works (30%) and a final exam (70%).
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[ms_accordion_item title=”Special tests and assignments” color=”” background_color=”” close_icon=”” open_icon=”” status=”open”]
Throughout this UC the student must complete a set of practical exercises that are part of the practical assessment of the UC.
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[ms_accordion_item title=”Special evaluation (TE, DA, …)” color=”” background_color=”” close_icon=”” open_icon=”” status=”open”]
The special assessments possible in this curricular unit include the usual situations, namely, for students with worker-student status or associative leaders.
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[ms_accordion_item title=”Mandatory literature” color=”” background_color=”” close_icon=”” open_icon=”” status=”open”]
Hunink M.G.M., Glasziou, P., Siegel, J., Weeks, J., Pliskin. J., Elstein, A.. & Weinstein, M . ; Decision making in health and medicine : integrating evidence and values.(2nd ed)., Cambridge ; New York: Cambridge University Press, 2014
Sox, H.C., Higgins, M.C., & Owens, D.K. ; Medical Decision Making (2nd Ed). , Chichester: Wiley-Blackwell, 2013
Welton, N.J., Sutton, A.J., Cooper, N., Abrams, K.R., & Ades, A.E. ; ). Evidence Synthesis for Decision Making in Healthcare, Chichester: Wiley-Blackwell, 2012
Drummond, M.F., Sculpher, M.J., Claxton, K., Stoddart, G.L., & Torrance, G.W. ; Methods for the economic evaluation of health care programmes (4rd ed)., Oxford ; New York: Oxford University Press, 2015
Brazier, J., Ratcliffe, J., Tsuchiya, A., & Salomon, J. ; Measuring and Valuing Health Benefits for Economic Evaluation, Oxford: Oxford University Press, 2007
Briggs, A; Decision Modelling for Health Economic Evaluation, Oxford: Oxford University Press, 2006
Petitti, D.B. ; Meta-Analysis, Decision Analysis, and Cost-Effectiveness Analysis: Methods for Quantitative Synthesis in Medicine (2nd Ed). , New York: Oxford University Press, 2000
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