authorized, structed, on-going systems for monitoring drug use through comparison w/specific standards and initiation of appropriate when the results are inconsiw/the standards
Pharmacoeconomics
tool that is used to measure, identify and compare costs and outc of diff. pharmacoth and medical
cost of illness
measures both direct & indirect cost attributable to specific disease
cost benefit analysis
involves identifying & measuring all costs of providing treatment & comparing w/the resulting benefits
cost effectiveness analysis
compare treatment alternative w/cost measured & treatment putcomes expressed in term of therapeutic objectives
cost utility analysis
measures consequences in terms of QALY
Quality Adjusted Life Years
QALY
QALY
calculated by estimating the years of life remaining for a patient following a particular treatment or intervention
Evidence Based Medicine
conscientious, explicit, and judicious used if current best evidence in making decisions about the care of individual patients
Pharmakon
drug
epi
among
demos
people
logos
study
Pharmacoepidemiology
study of uses of drugs and their effects on large number of people
casecontrol
retrospective
recall bias
occurs when people don’t remember previous events/experiences accurately or memories maybe influenced by subsequent events or experience
cohort
prospective; follow up through time looking for differences in the development of a condition of disease
cross sectional
prevalence study; survey the popu at a single point of time
randomized control trials
gold standard; comparing two or more treatment and placebo
single blinded
the patiend is not aware of the assignment
double blinded
both the clinician and the patient are not aware
clinical
phase 1-4
phase I
healthy volunteers; safety
phase II
volunteers w/disease; efficacy
phase III
large scale multicenter clinical studies
phase IV
post-marketing surveillance
meta analysis
systematic review using quantitative methods to summarize results
systematic review
comprehensive summary of best available evidences that address a defined question
primary source
provides the most current information
secondary source
used for quick and selective screening of primary sources
tertiary source
provide easy and convenient access to information; may be outdated
cost minimization analysis
used to identify alternative with the lowest cost among various interventions w/ equivalent outcomes