SlideShare una empresa de Scribd logo
1 de 46
Professor Mike Kelly Director of the Centre for Health Excellence  National Institute for Health and Clinical Excellence Perspectives of Public Health Practice: Peninsula Teaching Public Health Network,  St Mellion , Cornwall,  7 th  March 2008 Putting a Price on Good Health
NICE’s role in public health ,[object Object]
 
[object Object]
Audiences ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Two types of public health guidance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
[object Object]
 
The principles of cost effectiveness and value for money should be applied to public health? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Putting a price on public health ,[object Object],[object Object],[object Object],[object Object]
It matters because: ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
 
Picture quiz. The portrait is? ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Wanless 2
 
Securing Good Health for the Whole Population (2004) ,[object Object],[object Object],[object Object],[object Object]
 
Picture quiz ,[object Object],[object Object],[object Object],[object Object],[object Object]
Health economics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Applying economic analysis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Age standardised death rates per 100,000 population for circulatory diseases under 75 by area of deprivation
Age standardised death rates per 100,000 population for cancer under 75 by area of deprivation
The health gradient Health state Social difference Lo Hi Lo Hi
Shifting the curve Health state Social difference Lo Hi Lo Hi
Different shapes of the gradient: low and middle income countries (Victora 2007)
Other important economic problems ,[object Object],[object Object],[object Object]
Problems with the evidence of effectiveness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Interventions completed ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Interventions under development ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Programmes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Methods ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is the NICE value for money threshold? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Assessing Cost Effectiveness Probability of rejection Cost per QALY ( $ ’000) 17 34 51 68 85 0 1
What QALY values have typically emerged in public health? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Economic modelling Brief interventions in primary care for smoking cessation Cost per QALY using all health care costs, based on 50 year old male cohort (Parrott and Godfrey, University of York) Brief opportunistic advice from a GP (5 minutes)   £230
Economic modelling Cost per QALY using all health care costs, based on 50 year old male cohort Brief opportunistic advice from a GP (10 minutes)   £585
Economic modelling Cost per QALY using all health care costs, based on 50 year old male cohort Brief opportunistic advice from a GP + Advice to use NRT £1271
Economic modelling Cost per QALY using all health care costs, based on 50 year old male cohort Brief opportunistic advice from a GP + Telephone helpline £471-769
Economic modelling Cost per QALY using all health care costs, based on 50 year old male cohort Brief opportunistic advice from a   practice nurse in primary care £821-2914
Economic modelling Cost per QALY using all health care costs, based on 50 year old male cohort Brief opportunistic advice from a   staff nurse in hospital setting £244-1184
Who pays? ,[object Object],[object Object],[object Object]
Future directions ,[object Object],[object Object]
Visit  www.nice.org.uk

Más contenido relacionado

La actualidad más candente

Brady a public health_perspective projection
Brady a  public health_perspective projectionBrady a  public health_perspective projection
Brady a public health_perspective projection
cecicxy
 
Why older people engage in physical activity an exploratory study of partici...
Why older people engage in physical activity  an exploratory study of partici...Why older people engage in physical activity  an exploratory study of partici...
Why older people engage in physical activity an exploratory study of partici...
Darren John Capalb
 
Controlling Future Health Care Costs Sep2011
Controlling Future Health Care Costs Sep2011Controlling Future Health Care Costs Sep2011
Controlling Future Health Care Costs Sep2011
ri27525
 

La actualidad más candente (20)

Australia's Health Pt 1
Australia's Health Pt 1Australia's Health Pt 1
Australia's Health Pt 1
 
Supporting the NHS, upskilling leisure staff to deliver a comprehensive healt...
Supporting the NHS, upskilling leisure staff to deliver a comprehensive healt...Supporting the NHS, upskilling leisure staff to deliver a comprehensive healt...
Supporting the NHS, upskilling leisure staff to deliver a comprehensive healt...
 
The Gradient Evaluation Framework
The Gradient Evaluation FrameworkThe Gradient Evaluation Framework
The Gradient Evaluation Framework
 
Australian Health Care System (part 1)
Australian Health Care System (part 1)Australian Health Care System (part 1)
Australian Health Care System (part 1)
 
Hugh Griffiths: Improving health outcomes for people with long-term conditions
Hugh Griffiths: Improving health outcomes for people with long-term conditionsHugh Griffiths: Improving health outcomes for people with long-term conditions
Hugh Griffiths: Improving health outcomes for people with long-term conditions
 
170628 middleton j york 2 commissioning public health conference
170628 middleton j york 2 commissioning public health conference   170628 middleton j york 2 commissioning public health conference
170628 middleton j york 2 commissioning public health conference
 
Brady a public health_perspective projection
Brady a  public health_perspective projectionBrady a  public health_perspective projection
Brady a public health_perspective projection
 
Alzheimer's Disease Prevention Proposal
Alzheimer's Disease Prevention ProposalAlzheimer's Disease Prevention Proposal
Alzheimer's Disease Prevention Proposal
 
Health Inequity Reduction in Thailand: On the Way Toward Healthy Public Policy
Health Inequity Reduction in Thailand: On the Way Toward Healthy Public PolicyHealth Inequity Reduction in Thailand: On the Way Toward Healthy Public Policy
Health Inequity Reduction in Thailand: On the Way Toward Healthy Public Policy
 
Why older people engage in physical activity an exploratory study of partici...
Why older people engage in physical activity  an exploratory study of partici...Why older people engage in physical activity  an exploratory study of partici...
Why older people engage in physical activity an exploratory study of partici...
 
A Workshop Looking At The Evidence on Workplace Health Wellness Programmes:
A Workshop Looking At The Evidence on Workplace Health Wellness Programmes:A Workshop Looking At The Evidence on Workplace Health Wellness Programmes:
A Workshop Looking At The Evidence on Workplace Health Wellness Programmes:
 
Geriatric Health.pptx
Geriatric Health.pptxGeriatric Health.pptx
Geriatric Health.pptx
 
Public Health Concerns of Elderly in Nepal
Public Health Concerns of Elderly in NepalPublic Health Concerns of Elderly in Nepal
Public Health Concerns of Elderly in Nepal
 
Controlling Future Health Care Costs Sep2011
Controlling Future Health Care Costs Sep2011Controlling Future Health Care Costs Sep2011
Controlling Future Health Care Costs Sep2011
 
Designing Healthy Weight in Dundee
Designing Healthy Weight in DundeeDesigning Healthy Weight in Dundee
Designing Healthy Weight in Dundee
 
Birmingham's Public Health Challenges
Birmingham's Public Health ChallengesBirmingham's Public Health Challenges
Birmingham's Public Health Challenges
 
What Makes for a Healthy Workplace
What Makes for a Healthy WorkplaceWhat Makes for a Healthy Workplace
What Makes for a Healthy Workplace
 
The future’s bright, the future’s public health
The future’s bright, the future’s public healthThe future’s bright, the future’s public health
The future’s bright, the future’s public health
 
Presentation New Voices Conference
Presentation New Voices ConferencePresentation New Voices Conference
Presentation New Voices Conference
 
Lit review paper
Lit review paper Lit review paper
Lit review paper
 

Destacado (7)

The public health impact of austerity final april 2015
The public health impact of austerity final april 2015The public health impact of austerity final april 2015
The public health impact of austerity final april 2015
 
HTA's 'Macro' Role in Health Care Systems
HTA's 'Macro' Role in Health Care SystemsHTA's 'Macro' Role in Health Care Systems
HTA's 'Macro' Role in Health Care Systems
 
Smoking Feature
Smoking FeatureSmoking Feature
Smoking Feature
 
External Influences
External InfluencesExternal Influences
External Influences
 
Pest Analysis
Pest AnalysisPest Analysis
Pest Analysis
 
Pestle analysis
Pestle analysisPestle analysis
Pestle analysis
 
Environmental scanning
Environmental scanningEnvironmental scanning
Environmental scanning
 

Similar a Mike Kelly: Putting a Price on Good Health

Tackling inequalities: the role of cost effectiveness - Alan Maynard
Tackling inequalities: the role of cost effectiveness - Alan MaynardTackling inequalities: the role of cost effectiveness - Alan Maynard
Tackling inequalities: the role of cost effectiveness - Alan Maynard
Ian Brown
 
American Heart Association Lifestyle Recommendations to Reduce.docx
American Heart Association Lifestyle Recommendations to Reduce.docxAmerican Heart Association Lifestyle Recommendations to Reduce.docx
American Heart Association Lifestyle Recommendations to Reduce.docx
jesuslightbody
 
Process to Product and Product to Process - Professor Gareth Stratton
Process to Product and Product to Process - Professor Gareth StrattonProcess to Product and Product to Process - Professor Gareth Stratton
Process to Product and Product to Process - Professor Gareth Stratton
ukactive
 
Deloitte_ES_Sanidad-sanidad-en-europa.pdf
Deloitte_ES_Sanidad-sanidad-en-europa.pdfDeloitte_ES_Sanidad-sanidad-en-europa.pdf
Deloitte_ES_Sanidad-sanidad-en-europa.pdf
janethlopez72
 

Similar a Mike Kelly: Putting a Price on Good Health (20)

Prof David Hunter - Meeting the Challenge - Does the new NHS promote or hinde...
Prof David Hunter - Meeting the Challenge - Does the new NHS promote or hinde...Prof David Hunter - Meeting the Challenge - Does the new NHS promote or hinde...
Prof David Hunter - Meeting the Challenge - Does the new NHS promote or hinde...
 
Tackling inequalities: the role of cost effectiveness - Alan Maynard
Tackling inequalities: the role of cost effectiveness - Alan MaynardTackling inequalities: the role of cost effectiveness - Alan Maynard
Tackling inequalities: the role of cost effectiveness - Alan Maynard
 
Overview of tackling non-communicable diseases in England
Overview of tackling non-communicable diseases in EnglandOverview of tackling non-communicable diseases in England
Overview of tackling non-communicable diseases in England
 
Yvonne Doyle - High Impact Health Interventions
Yvonne Doyle - High Impact Health Interventions Yvonne Doyle - High Impact Health Interventions
Yvonne Doyle - High Impact Health Interventions
 
Ρητορική και πολιτική στην Πρωτοβάθμια Φροντίδα. Η αναγκαιότητα μιας τεκμηριω...
Ρητορική και πολιτική στην Πρωτοβάθμια Φροντίδα. Η αναγκαιότητα μιας τεκμηριω...Ρητορική και πολιτική στην Πρωτοβάθμια Φροντίδα. Η αναγκαιότητα μιας τεκμηριω...
Ρητορική και πολιτική στην Πρωτοβάθμια Φροντίδα. Η αναγκαιότητα μιας τεκμηριω...
 
Advancing Nursing Research to Address Global Health Challenges
Advancing Nursing Research to Address Global Health ChallengesAdvancing Nursing Research to Address Global Health Challenges
Advancing Nursing Research to Address Global Health Challenges
 
Living well? living longer?
Living well? living longer? Living well? living longer?
Living well? living longer?
 
110614 tim warren presentation
110614   tim warren presentation110614   tim warren presentation
110614 tim warren presentation
 
Orphan Drugs – High Prices: Is there a Way Forward?
Orphan Drugs – High Prices: Is there a Way Forward?Orphan Drugs – High Prices: Is there a Way Forward?
Orphan Drugs – High Prices: Is there a Way Forward?
 
ISPOR Special Task Force on US Value Frameworks: A Non-US Perspective
ISPOR Special Task Force on US Value Frameworks: A Non-US PerspectiveISPOR Special Task Force on US Value Frameworks: A Non-US Perspective
ISPOR Special Task Force on US Value Frameworks: A Non-US Perspective
 
Building Health Equity: The Role of Public Health
Building Health Equity: The Role of Public Health Building Health Equity: The Role of Public Health
Building Health Equity: The Role of Public Health
 
American Heart Association Lifestyle Recommendations to Reduce.docx
American Heart Association Lifestyle Recommendations to Reduce.docxAmerican Heart Association Lifestyle Recommendations to Reduce.docx
American Heart Association Lifestyle Recommendations to Reduce.docx
 
Health promotion introduction l1 1
Health promotion introduction l1 1Health promotion introduction l1 1
Health promotion introduction l1 1
 
Η διαχείριση των μειζόνων συμπεριφορικών παραγόντων κινδύνου στην ΠΦΥ
Η διαχείριση των μειζόνων συμπεριφορικών παραγόντων κινδύνου στην ΠΦΥΗ διαχείριση των μειζόνων συμπεριφορικών παραγόντων κινδύνου στην ΠΦΥ
Η διαχείριση των μειζόνων συμπεριφορικών παραγόντων κινδύνου στην ΠΦΥ
 
Process to Product and Product to Process - Professor Gareth Stratton
Process to Product and Product to Process - Professor Gareth StrattonProcess to Product and Product to Process - Professor Gareth Stratton
Process to Product and Product to Process - Professor Gareth Stratton
 
The paradox between current models of Primary Care and evolving Evidence Base...
The paradox between current models of Primary Care and evolving Evidence Base...The paradox between current models of Primary Care and evolving Evidence Base...
The paradox between current models of Primary Care and evolving Evidence Base...
 
Health co morbidity effects on injury compensation claims in NZ, and evidence...
Health co morbidity effects on injury compensation claims in NZ, and evidence...Health co morbidity effects on injury compensation claims in NZ, and evidence...
Health co morbidity effects on injury compensation claims in NZ, and evidence...
 
Jude Stansfield
Jude StansfieldJude Stansfield
Jude Stansfield
 
Foundations of Global Health
Foundations of Global HealthFoundations of Global Health
Foundations of Global Health
 
Deloitte_ES_Sanidad-sanidad-en-europa.pdf
Deloitte_ES_Sanidad-sanidad-en-europa.pdfDeloitte_ES_Sanidad-sanidad-en-europa.pdf
Deloitte_ES_Sanidad-sanidad-en-europa.pdf
 

Último

Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
9953056974 Low Rate Call Girls In Saket, Delhi NCR
 

Último (20)

Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
 
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
Top Rated  Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...Top Rated  Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
 
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In AhmedabadO898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
 
Call Girls Vadodara Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Vadodara Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Vadodara Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Vadodara Just Call 8617370543 Top Class Call Girl Service Available
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
 
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
 
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
 
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
 

Mike Kelly: Putting a Price on Good Health

  • 1. Professor Mike Kelly Director of the Centre for Health Excellence National Institute for Health and Clinical Excellence Perspectives of Public Health Practice: Peninsula Teaching Public Health Network, St Mellion , Cornwall, 7 th March 2008 Putting a Price on Good Health
  • 2.
  • 3.  
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.  
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.  
  • 15.
  • 16.  
  • 18.  
  • 19.
  • 20.  
  • 21.
  • 22.
  • 23.
  • 24. Age standardised death rates per 100,000 population for circulatory diseases under 75 by area of deprivation
  • 25. Age standardised death rates per 100,000 population for cancer under 75 by area of deprivation
  • 26. The health gradient Health state Social difference Lo Hi Lo Hi
  • 27. Shifting the curve Health state Social difference Lo Hi Lo Hi
  • 28. Different shapes of the gradient: low and middle income countries (Victora 2007)
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36. Assessing Cost Effectiveness Probability of rejection Cost per QALY ( $ ’000) 17 34 51 68 85 0 1
  • 37.
  • 38. Economic modelling Brief interventions in primary care for smoking cessation Cost per QALY using all health care costs, based on 50 year old male cohort (Parrott and Godfrey, University of York) Brief opportunistic advice from a GP (5 minutes) £230
  • 39. Economic modelling Cost per QALY using all health care costs, based on 50 year old male cohort Brief opportunistic advice from a GP (10 minutes) £585
  • 40. Economic modelling Cost per QALY using all health care costs, based on 50 year old male cohort Brief opportunistic advice from a GP + Advice to use NRT £1271
  • 41. Economic modelling Cost per QALY using all health care costs, based on 50 year old male cohort Brief opportunistic advice from a GP + Telephone helpline £471-769
  • 42. Economic modelling Cost per QALY using all health care costs, based on 50 year old male cohort Brief opportunistic advice from a practice nurse in primary care £821-2914
  • 43. Economic modelling Cost per QALY using all health care costs, based on 50 year old male cohort Brief opportunistic advice from a staff nurse in hospital setting £244-1184
  • 44.
  • 45.

Notas del editor

  1. What is NICE ? The National Institute for Health and Clinical Excellence (NICE) is the independent organisation responsible for providing national guidance on the promotion of good health and the prevention and treatment of ill health.
  2. Centre for Public Health Excellence The Centre for Public Health Excellence at NICE develops guidance on the promotion of good health and the prevention of ill health. Its guidance is for those working in the NHS, local authorities and the wider public, private and voluntary sectors. Initially, NICE will publish guidance that was commissioned by the former Health Development Agency. From the end of 2005, our guidance will be in the form described below.
  3. Mike I am going to put a graph here of some of the modelling work done by Chris Godfrey, illustrating the cost effectiveness but pointing out the dilemma of opportunity costs, especially in current NHS climate
  4. Mike I am going to put a graph here of some of the modelling work done by Chris Godfrey, illustrating the cost effectiveness but pointing out the dilemma of opportunity costs, especially in current NHS climate
  5. NICE has just launched its new website, integrating all public health and clinical work into one site. You can find more information on NICE and our work by visiting the website at www.nice.org.uk