Cost accounting and public reimbursement schemes in Spanish hospitals

Health Care Management Science, vol. 9, pp. 225 – 232. (2006).

Autores: Fernando Sanchez-Martınez & Jose-Maria Abellan-Perpinan & Jorge-Eduardo Martınez-Perez y Jaume Puig-Junoy.

Link

Abstract The objective of this paper is to provide a description and analysis of the main costing and pricing (reimbursement) systems employed by hospitals in the Spanish National Health System (NHS). Hospitals cost calculations are mostly based on a full costing approach as opposite to other systems like direct costing or activity based costing.

Continuar leyendo «Cost accounting and public reimbursement schemes in Spanish hospitals»

The influence of the ratio bias phenomenon on the elicitation of health states utilities

Judgement and Decision Making, vol. 1(2), pp. 118 – 133. (2006).

Autores: José-Luis Pinto Prades, Jorge-Eduardo Martínez Pérez, José-María Abellán Perpiñán.

Link

Abstract


This paper tests whether logically equivalent risk formats can lead to different health state utilities elicited by means of the traditional standard gamble (SG) method and a modified version of the method that we call “double lottery.”

Continuar leyendo «The influence of the ratio bias phenomenon on the elicitation of health states utilities»

Towards a better QALY model

Health Economics, vol. 15, pp. 665 – 676. (2006).

Autores: José-María Abellán-Perpiñán, José-Luis Pinto-Prades, Ildefonso Méndez-Martínez y Xabier Badía-Llach

Link

Summary

This paper presents a test of the predictive validity of various classes of QALY models (i.e. linear, power and exponential models). We first estimated TTO utilities for 43 EQ-5D chronic health states and next these states were embedded in nonchronic health profiles.

Continuar leyendo «Towards a better QALY model»

Estimación del valor monetario de los años de vida ajustados por calidad: estimaciones preliminares

Revista Ekonomiaz, Nº. 60(1), pp. 192 – 209. (2005).

Autores: José Luis Pinto Prades y Jorge E. Martínez Pérez.

Link

El presente trabajo pretende obtener una estimación del valor monetario del año de vida ajustado por la calidad (AVAC). Para realizar dicha estimación de un modo directo, a través de la disposición a pagar, se puede partir tanto de ganancias pequeñas de salud como de grandes ganancias.

Continuar leyendo «Estimación del valor monetario de los años de vida ajustados por calidad: estimaciones preliminares»

Measuring the health of populations: the veil of ignorance approach

Health Economics, vol. 14, pp. 69-82. (2005).

Autores: Jose-Luis Pinto-Prades y José-María Abellán-Perpiñán.

Link

Summary

We report the results from two surveys designed to explore whether an application of Harsanyi’s principle of choice form behind a veil of ignorance (VEI) can be used in order to measure the health of populations. This approach was tentatively recommended by Murray et al.(Bull. World Health Organ 2000; 78: 981–994; Summary Measures of population health: Concepts, Ethics, Measurement and Applications, WHO, 2002.) as an appropriate way of constructing summary measures of population health (SMPH) for comparative purposes.

Continuar leyendo «Measuring the health of populations: the veil of ignorance approach»

A consistency test of the time trade-off

Journal of Health Economics, vol 22, pp. 1037 – 1052. (2003).

Autores: Han Bleichrodt, Jose Luis Pinto, José María Abellán-Perpiñán.

Link

Abstract:


This paper tests the internal consistency of time trade-off utilities. We find significant violationsof consistency in the direction predicted by loss aversion. The violations disappear for higher gaugedurations. We show that loss aversion can also explain that for short gauge durations time trade-offutilities exceed standard gamble utilities.

Continuar leyendo «A consistency test of the time trade-off»

Integración Europea y regulación del mercado farmacéutico. La Agencia Europea para la Evaluación de Medicamentos (EMEA)

Revista Información Comercial Española, Nº 804, pp. 219 – 238. (2003).

Autor: Fernando Ignacio Sánchez Martínez.

Link

Uno de los ámbitos de la regulación pública en el mercado farmacéutico atañe al procedimiento para la entrada de nuevos medicamentos al mercado. Es precisamente en este aspecto donde se han registrado mayores avances en términos de armonización e integración en el seno de la Unión Europea, sobre todo desde la creación y puesta en funcionamiento de la Agencia Europea para la Evaluación de Medicamentos (EMEA).

Continuar leyendo «Integración Europea y regulación del mercado farmacéutico. La Agencia Europea para la Evaluación de Medicamentos (EMEA)»

Testing the descriptive performance of the rank-dependent utility in the domain of health profiles

Spanish Economic Review, vol 3, pp. 177-191. (2001)

Autores: José Luis Pinto Prades y José María Abellán Perpiñán.

Link

Abstract

Expected utility theory (EUT) has been challenged as a descriptive theory in many contexts. The medical decision analysis context is not an exception. Several researchers have suggested that rank dependent utility theory (RDUT) may accurately describe how people evaluate alternative medical treatments.

Continuar leyendo «Testing the descriptive performance of the rank-dependent utility in the domain of health profiles»

Equity considerations in health care: the relevance of claims

Health Economics, vol. 10, pp. 187-205. (2001).

Autores: Xavier Cuadras Morató, José Luis Pinto Prades y José María Abellán Perpiñán.

Link

Summary

The general issues of equity and efficiency are central to the analysis of resource allocation problems in health care. We examine them using axiomatic bargaining theory. We study different solutions that have been proposed and relate them to previous literature on health care allocation.

Continuar leyendo «Equity considerations in health care: the relevance of claims»

Quality adjusted life years as expected utilities

Spanish Economic Review, vol. 2(1), pp. 49-63. (2000)

Autores: José María Abellán Perpiñán y José Luis Pinto Prades

Link

Abstract

This article is intended to systematicaly show all the conditions that the Quality Adjusted Life Year (QALY) must satisfy so that it can be interpreted as a von Newman-Morgenstern utility. Such conditions cover two cases. When health states are chronic, we shall be referring to the conditions inferred by Pliskin, Shepard and Weinstein (1980).

Continuar leyendo «Quality adjusted life years as expected utilities»