Фармакоэкономические исследования

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Фармакоэкономические Фармакоэкономические исследования исследования Коржевский Александр Коржевский Александр ассистент кафедры УЭФ и ФТ ассистент кафедры УЭФ и ФТ ГОУ ВПО Ниж ГМА Росздрава ГОУ ВПО Ниж ГМА Росздрава Нижний Новгород, 24.10.2009

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  • , 24.10.2009

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  • Petty William 1623-1678

    1650 - Professor of Anatomy at Oxford 1662 - Treatise of taxes and contributions 1672 - "Essays in political arithmetic" ( , 1631 .)

    ( ; . William Petty; 16231687) ; , , , ; 1658 . . 1647 . . , "Advice for the advancement of some particular parts of learning" (1646), . - . . : "Quantulumcunque or tract concerning money" (1682) "Treatise of taxes and contributions" ( ) (1662). , . ; , ; , . , . . , . "Essays in political arithmetic" ( , 1631 ., , ) , ., , , . .

  • Farr William 1807-1883

    XIX (1841 ) William Farr , , .

    , , ( " ") , (. ICD-10 International Statistical Classification of Diseases and Related Health Problems) , . ( ) . , . .

  • Kenneth Joseph Arrow . 1921

    , 1972

    Milton Friedman 1912-2006

    , 1976 : , .

    (. Kenneth Joseph Arrow; . 23 1921, -) , 1972 ( ) . . , . (1983-86). (1956). 1973 . . . (1957). (1973). Games and Economic Behavior. 1990- , .

    Milton Friedman , 1976 , , . Milton Friedman

  • : - , ( ), , . - , , () . - , , ( ,, ..). - : , , , , , , , ,

  • : ) ( , ), :- , , , , ( );- ;- ;- ;- , ( ), .) :- ("") ;- , (, );-

    ) ( , ), :- , , , , ( );- ;- ;- ;- , ( ), .) :- ("") ( - );- , (, );-

  • : - Cost of illness ) () ( ):- - , , , ;- "" , ;- ;- . ) () - , , , , , - - .

    ) ( , ), :- , , , , ( );- ;- ;- ;- , ( ), .) :- ("") ( - );- , (, );-

  • : Cost-Effectiveness Analysis - - , , , (... ,). Cost-Minimization Analysis/MA - , , , .

  • : Cost-Effectiveness Analysis - - , , , (... ,). Cost-Minimization Analysis/MA - , , , .

  • : - () Cost-Utility Analysis - , "" (, ); " " (QALY = Quality of life ).

    , 1,00 , 0,99 0,95-0,99 0,5 , 0,39 0,00 , 0,00

  • : Cost-Benefit Analysis - - , , . , . Human Capital Approach (HCA) Contingent Valuation (CV). HCA (, ). CV : ?.

    : ?______ , 10$?____.

    - (Cost-Benefit Analysis) . GUIDELINES FOR ECONOMIC EVALUATION OF PHARMACEUTICALS: CANADA CCOHTA Human Capital Approach (HCP) Contingent Valuation (CV). HCP (, ), , , , . CV : ?. , , . , . : ?______ , 10$?____. . Human Capital Approach , Contingent Valuation, (Willingness To Pay), .

  • -ABC - () , : ( ), 80% ( , 10-15% ), - , 15% ( 50% ) - , 5% ( 40% ). ABC- .

    ABC - () , : ( ), 80% ( , 10-15% ), - , 15% ( 50% ) - , 5% ( 40% ). ABC- .

  • VEN- ,

    ABC - () , : ( ), 80% ( , 10-15% ), - , 15% ( 50% ) - , 5% ( 40% ). ABC- .

  • V-vital , , , , - (, , ), ( ), . E-essential , (, ), . N - non essential , , (, , ), , , , (, ), I ( ), .

    .. , .. , 2005

    VEN- - : `V` (vital) - , `` (essential) - , `N` (non-essential) -, , . `V`, `E` `N` . `V` . `E` - , . , `V` `N`. , , `V` . `E` . , .. `E` - , . `N`. (ABC-VEN ).

  • VEN .. , .. , 2005

  • , , , ,

  • 3- (, , ): ,

  • (70% ) : ()- ()

    , ( , , , ) - ,

  • : ()- ()- (CUA)

    (, , ..) , - : ,

  • ()

  • ()

  • ( ) 2002 ~ 143, 5 . ( ) 2002 ~ 71,6 . 148,7 + 281,6 + 1080= 1510,3 .$ ~ 20,1 $ 1,0 %

    ( ; . William Petty; 16231687) ; , , , ; 1658 . . 1647 . . , "Advice for the advancement of some particular parts of learning" (1646), . - . . : "Quantulumcunque or tract concerning money" (1682) "Treatise of taxes and contributions" ( ) (1662). , . ; , ; , . , . . , . "Essays in political arithmetic" ( , 1631 ., , ) , ., , , . . , , ( " ") , (. ICD-10 International Statistical Classification of Diseases and Related Health Problems) , . ( ) . , . . (. Kenneth Joseph Arrow; . 23 1921, -) , 1972 ( ) . . , . (1983-86). (1956). 1973 . . . (1957). (1973). Games and Economic Behavior. 1990- , .

    Milton Friedman , 1976 , , . Milton Friedman) ( , ), :- , , , , ( );- ;- ;- ;- , ( ), .) :- ("") ( - );- , (, );- ) ( , ), :- , , , , ( );- ;- ;- ;- , ( ), .) :- ("") ( - );- , (, );- - (Cost-Benefit Analysis) . GUIDELINES FOR ECONOMIC EVALUATION OF PHARMACEUTICALS: CANADA CCOHTA Human Capital Approach (HCP) Contingent Valuation (CV). HCP (, ), , , , . CV : ?. , , . , . : ?______ , 10$?____. . Human Capital Approach , Contingent Valuation, (Willingness To Pay), . ABC - () , : ( ), 80% ( , 10-15% ), - , 15% ( 50% ) - , 5% ( 40% ). ABC- .ABC - () , : ( ), 80% ( , 10-15% ), - , 15% ( 50% ) - , 5% ( 40% ). ABC- .VEN- - : `V` (vital) - , `` (essential) - , `N` (non-essential) -, , . `V`, `E` `N` . `V` . `E` - , . , `V` `N`. , , `V` . `E` . , .. `E` - , . `N`. (ABC-VEN ).