1. Read the following article:
Kim, D. D. et al. (2020). Perspective and Costing in Cost-Effectiveness Analysis, 1974-2018. PharmacoEconomics, 38, 1135-1145. Retrieved from
1.a
a. Write a 3-2-1 report in the usual fashion. (12 marks)
1.b
b. Read the following (extremely short) article:
Primeau, C. A., Marsh, J. D., Birmingham, T. B. & Giffin, J. R. (2019). The importance of costing perspective: an example evaluating the cost-effectiveness of a locking versus non-locking plate in medial opening wedge high tibial osteotomy. Canadian Journal of Surgery, 62(1), E14-E16. Retrieved from
Note that youll need to click the PDF link at the top to read the full article. If youd like an HTML version, see
The authors claim that in addition to the usual health care payer perspective, they take a societal perspective. In the Appendix to their paper, they clarify what this means. Briefly, in their societal perspective they included:
Direct costs to the provincial single payer, using a case costing approach
All additional related costs to the provincial single payer over the year after the surgery, using a case costing approach.
[E]mployment time lost, and homemaking or volunteer time lost during the study period (surgery + 12 months later). This was obtained either via patient interviews, or analysis of reports of follow-up visits.
The 2015 average Canadian wage reported by Statistics Canada was used to value time off employment. We assigned the current value of minimum wage in Ontario to account for time off for patients who were retried, or who lost time from home making or volunteer activities.
i. (3 marks) The Kim et al. paper has very specific ideas about what a Societal (or Limited Societal) perspective is. Do you think that Kim et al. would agree that the Primeau et al. paper included an analysis from a Societal (or Limited Societal) perspective? Why or why not?
Is the (Primeau, 2019) Societal perspective a (Kim et al., 2020) Societal or Limited Societal perspective? (Yes/No/Maybe)
Why or why not?
ii. (3 marks) Using what you have learned in ECON 317, in your economics degree so far, and from the Kim et al. paper, make a suggestion for how to improve the Societal perspective in the (Primeau, 2019) paper. Briefly explain why your suggestion would be helpful.
Suggestion:
Why its helpful:
Click on Appendix next to the PDF link on the , or use this link:
