Videos: Cost-Effectiveness Analysis III

This multimedia segment, Cost-Effectiveness Analysis III, includes five videos. In addition to the videos, materials include an instructor's note, companion slides, a glossary, an annotated bibliography, and sample exercises.

Access the videos.

• Video 1 Identifying, measuring, and valuing costs (~31 min)
  In this video, using a published analysis of cervical cancer screening in 5 countries as an example, students are introduced to the contents of the numerator of the cost-effectiveness analysis, costs.  Students are walked through the objectives, the perspective, the alternatives and the outcomes, all of which influence the costs included in the analysis. Students are walked through identifying three different categories of costs including formal and informal health sector costs and non-health sector costs. They then learn how to measure costs using a top down or a bottom up approach. Finally, students are introduced to the concept of value costs, including what monetary unit would be appropriate, and how to discount and inflate costs.
• Video 2 Policy snapshot: costs and cost-effectiveness ratios (~9 min)
  In this video, using the same published policy analysis from the previous video, students take a look at how collected costs are applied in a cost-effectiveness analysis and how differences in costs can and do impact the results of an analysis.  Students are shown how the results of this particular analysis and the costs collected that drove it, highlighted needed changes in policy recommendations in five developing countries.
• Video 3a Panel on cost-effectiveness in health and medicine (~23 min)
  This video is part 1 of a 2 part series introducing and covering the recommendations of the Panel on Cost-Effectiveness in Health and Medicine.  In Part 1, similarities and differences between the first panel (1996) and the second panel (2016) are discussed. This video covers some of the rationale for the two panels as well as what changed in the world between them.  Topics such as perspective for analyses, methods development, and development of a reference case and what should be included in that case, are highlighted. 
• Video 3b Panel on cost-effectiveness in health and medicine (~18 min)
  This video is part 2 of a 2 part series introducing and covering the recommendations of the Panel on Cost-Effectiveness in Health and Medicine. In Part 2, the impact inventory, which is a recommendation of the 2^nd Panel is discussed as are the use of QALY’s, and which costs are included based on differing perspectives that should be part of the reference case, as well as the specific recommendations for the reference case introduced in the 2^nd Panel. 
• Video 4 Basic mechanics of discounting (animation) (~5 min)
  This video is a short animation which covers the basic mechanics of discounting as discussed by the 2^nd Panel on Cost-Effectiveness in Health and Medicine.  Using a simplified example, students learn about present value and future value of money. Following the introduction of that concept, students apply these concepts using two different family planning methods with costs that vary over time, how discounting could be applied to an economic analysis. 

This teaching pack was developed by Sue J. Goldie at the Center for Health Decision Science, Harvard T.H. Chan School of Public Health. The multimedia components were developed as part of a series of pilots in the CHDS Media Hub, led by Jake Waxman, where media-based pedagogy experiments contribute to new ways of thinking about short form content.