Lecture 27 Pharmacoeconomics

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22 Apr 2012
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Lecture 27 Pharmacoeconomics
Douglas pushed for socialized medicine; believed it was unethical to profit from sickness.
Canada Health Act
Principles: comprehensiveness, universality, portability, accessibility.
Covered: hospital, physician, emergency diagnostics, inpatient medications.
Not covered: outpatient medications, most allied health, densitry, non-medically necessary
surgery.
Health expenditure per capita varies widely across countries.
US spends the most.
Increasing costs of healthcare.
Healthcare spending: mostly on hospitals. Drugs that do not require hospitalization save
health care system.
Government themes: Fiscal Restraint
Increased regulation of new technology, assessment of economic impact, cost-
effectiveness, cost-utility, trade-offs.
Increased Drug/Technology Expenditures
New products
More expensive products
More prescriptions/utilization for more patients
Finite funding envelope: limited money available, depends on taxes
Metastatic colon cancer
Leading cause of cancer
Tumor in colon, rectum, appendix
Colorectal cancers arise from polyps in colon
Commonly spreads to liver
Cetuximab
Drug class; EGFR inhibitor
+2 months survival
$60,000 (expensive!)
Rheumatoid Arthiritis
1% population affected; auto-immune disease affects joints, skin, organs,
cardiovascular system
Treatment: disease modifying antirheumatic drug and anti-inflammatory agents,
analgesics.
Etanercept
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