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The outcome of IHE initiatives is providing better information for developing health policy and best medical practices. IHE disseminates information in many ways. In addition to publications in peer-reviewed journals, IHE produces books and a variety of reports synthesizing information in a particular field.

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Results for: Health Economics / Healthcare Costs

ERAS - Value based surgery

September 06, 2017

| Olle Ljungqvist, Thanh Nguyen, Gregg Nelson

This paper reviews implementation of enhanced recovery after surgery (ERAS) and its financial implications. Literature on clinical outcomes and financial implications were reviewed. Reports from many different surgery types shows that implementation of ERAS reduces complications and shortens hospital stay. These improvements have major impacts on reducing the cost of care even…

IHE In Your Pocket 2017: A Handbook of Health Economic Statistics

May 31, 2017

IHE In Your Pocket 2017 – A Handbook of Health Economic Statistics includes the most currently available data, presented in separate sections on the economic burden of illness, health care resources, health behaviours, health status and demographics, and health system performance. IHE In Your Pocket was designed to provide a compact, comprehensive, and comparative overview…

Benefit of adjunct universal rectal screening for Chlamydia genital infections in women attending Canadian sexually transmitted infection clinics

May 23, 2017

| Thanh Nguyen, Ilke Akpinar, Jennifer Gratrix, Sabrina Plitt, Petra Smyczek, Ron Read, Philip Jacobs, Tom Wong, Ameeta E Singh

Adding universal rectal screening to urogenital screening should positively impact rectal Chlamydia trachomatis (CT) incidence in affected populations. A dynamic Markov model was used to evaluate costs and outcomes of three rectal CT screening strategies among women attending sexually transmitted infection clinics in Alberta, Canada: universal urogenital-only screening (UG-only),…

The economic burden of inadequate consumption of vegetables and fruit in Canada

December 16, 2016

| John Paul Ekwaru, Arto Ohinmaa, Sarah Loehr, Solmaz Setayeshgar, Thanh Nguyen, Paul J Veugelers

Objective: Public health decision makers not only consider health benefits but also economic implications when articulating and issuing lifestyle recommendations. Whereas various estimates exist for the economic burden of physical inactivity, excess body weight and smoking, estimates of the economic burden associated with our diet are rare. In the present study, we estimated the…

Towards an Alberta approach for biosimilar reimbursement

November 22, 2016

| IHE Institute of Health Economics

This report provides a summary of the IHE Biosimilars Forum engagement exercise that took place on October 6, 2016 in Edmonton. The intent of the forum was to inform Alberta biosimilar reimbursement policy by sharing international experiences in this area, and the perspectives of key stakeholders.

Gainsharing and shared savings strategies in the healthcare setting: Evidence for effectiveness

November 18, 2016

| Ann Scott, Lisa Tjosvold, Dagmara Chojecki

This rapid report provides a summary of current evidence on the application of gainsharing shared savings strategies in healthcare systems and the barriers and facilitators related to their implementation.

Forecasting Pharmaceutical Prices for Economic Evaluations When There Is No Market: A Review

November 08, 2016

| Ilke Akpinar, Philip Jacobs, Tien Dat Tran

Economic evaluation helps policy makers and healthcare payers make decisions on drug listing, coverage, and reimbursement. When economic evaluations are conducted before a product launch, the prices of the pharmaceuticals have to be forecast.

Bringing about change in COPD care – White paper

October 03, 2016

| Arianna Waye, Philip Jacobs

This white paper follows on from the 2016 IHE report, Economic surveillance for chronic obstructive pulmonary disease (COPD) in Alberta. It provides a summary of main gaps in COPD care across Canada and, in the context of a broad economic framework, it surveys important examples of programs and policies designed to address these gaps.

Trends and Regional Variation in Hospital Mortality, Length of Stay and Cost in Hospital of Ischemic Stroke Patients in Alberta Accompanying the Provincial Reorganization of Stroke Care

September 26, 2016

| Arto Ohinmaa, Yufei Zheng, Thomas Jeerakathil, Scott Klarenbach, Unto Häkkinen, Thanh Nguyen, Dan Friesen, Jane Ruseski, Padma Kaul, Ruolz Ariste, Philip Jacobs

  OBJECTIVES: This study aimed to evaluate the trends and regional variation of stroke hospital care in 30-day in-hospital mortality, hospital length of stay (LOS), and 1-year total hospitalization cost after implementation of the Alberta Provincial Stroke Strategy.

Cost Effectiveness of Eplerenone for the Treatment of Systolic Heart Failure with Mild Symptoms in Alberta, Canada

June 14, 2016

| Thanh Nguyen, Justin Ezekowitz, Dat Tran, Padma Kaul

  BACKGROUND: Eplerenone has been demonstrated as being cost effective for the treatment of patients with systolic heart failure (HF) and mild symptoms in several jurisdictions; however, its cost effectiveness is unknown in the context of Alberta, Canada.

Mental health services costs within the Alberta criminal justice system

May 26, 2016

| Alain Lesage, Carolyn Dewa, Jessica Moffatt, Philip Jacobs, Thanh Nguyen, Ting Zhang

  Objective: The objective of this paper is to estimate the additional mental health service costs incurred within the criminal justice system that are incurred because of people with mental illnesses who go through the system. Our focus is on costs in Alberta.

Economic surveillance for chronic obstructive pulmonary disease (COPD) in Alberta

April 12, 2016

| Arianna Waye, Philip Jacobs, Maria Ospina, Michael Stickland, Irvin Mayers

This report provides the results of an economic surveillance analysis on the components of the Alberta healthcare system that are devoted to COPD prevention and treatment. It focuses on epidemiology (prevalence and incidence), service use, and cost indicators, and identifies gaps in the system that presumably add to the overall economic burden of COPD. PDF of the above image:  IHE…

Palliative care costs in Canada: A descriptive comparison of studies of urban and rural patients near end of life

December 07, 2015

| Serge Dumont, Philip Jacobs, Véronique Turcotte, Stéphane Turcotte, Grace Johnston

  Background: Significant gaps in the evidence base on costs in rural communities in Canada and elsewhere are reported in the literature, particularly regarding costs to families. However, it remains unclear whether the costs related to all resources used by palliative care patients in rural areas differ to those resources used in urban areas.

Value Added by the Prevnar 13 Childhood Immunization Program in Alberta, Canada (2010–2015)

September 30, 2015

| Arianna Waye, Anderson Chuck

Objective: In this study, we estimate the impact of the new PCV13 immunization program on the burden of disease and related healthcare costs in Alberta.

Health Service Use and Costs Associated with Low Birth Weight – A Population Level Analysis

September 01, 2015

| Thanh Nguyen, Jennifer Toye, Anamaria Savu, Manoj Kumar, Padma Kaul

  OBJECTIVES: To examine differences in health services utilization (HSU) costs in the first year of life between low birth weight (LBW) and normal birth weight (NBW) infants, identify maternal and child characteristics associated with HSU costs, and estimate annual HSU cost of LBW infants for the province of Alberta, Canada.

Medical device and diagnostic pricing and reimbursement in Canada

July 17, 2015

| Don Husereau, Larry Arshoff, Shahira Bhimani, Nicola Allen

This document describes the entry of new medical devices into the Canadian health system. It is intended to provide an accurate description of new medical device entry in Canada, and is intended to give patients, the public, private and public sector health system researchers, medical device companies, and private and public coverage bodies a general understanding of what regulatory,…

The State of Health Economics in Alberta: A Review of Need, Capacity, and Action

May 26, 2015

| Braden Manns, Anderson Chuck, Eddy Nason, Lianne Barnieh, John Sproule, Jasmine Brown

This work, conducted by the Institute for Health Economics (IHE) and the University of Calgary (Health Economics group), was performed to better understand the unmet educational needs and health economics products that could support people in the province, and to determine the current capacity for conducting health economics in Alberta. This paper seeks to understand the needs…

Medical Device Prices in Economic Evaluations.

May 20, 2015

| Ilke Akpinar, Philip Jacobs, Don Husereau

  Objectives: Economic evaluations, although not formally used in purchasing decisions for medical devices in Canada, are still being conducted and published. The aim of this study was to examine the way that prices have been included in Canadian economic evaluations of medical devices.

On the State of the Art in Costing Methods – Summary Report

April 13, 2015

Economic surveillance and economic assessments are important sources of information to help administrators and policy makers to track current trends and evaluate policies and care patterns. The Institute of Health Economics, in partnership with Alberta Health, held a two-day Costing Methods Workshop which helped to review costing practices by bringing together economists and other…

Micro costing: studies, systematic review and checklist development

January 22, 2015

PDF of a PowerPoint Presentation by Dr. Jennifer Prah Ruger, University of Pennsylvania. On the State of the Art in Costing Methods Workshop.

Estimating Costs of Hospital Stays

January 21, 2015

PDF of a PowerPoint Presentation by Mr. Anyk Glussich, Program Lead, Canadian Patient Cost Database (CPCD); Canadian Institute for Health Information (CIHI).  On the State of the Art in Costing Methods Workshop.

Medical tourism and bariatric surgery: who pays?

December 08, 2014

| Caroline Sheppard, Erica Lester, Anderson Chuck, David Kim, Shahzeer Karmali, Christopher Gara, Daniel Birch

  INTRODUCTION: The objective of this study was to determine the short-term cost impact thatmedical tourism for bariatric surgery has on a public healthcare system. Due to long wait times for bariatric surgery services, Canadians are venturing to private clinics in other provinces/countries. Postoperative care in this population not only burdens the provincial health system…

Costs of health services utilization of people with fetal alcohol spectrum disorder by sex and age group in Alberta, Canada.

November 17, 2014

| Thanh Nguyen, Egon Jonsson

  Objectives: To estimate the annual health services utilization (HSU) cost per person with FASD by sex and age; the lifetime HSU cost per person with FASD by sex, and the annual HSU cost of FASD for Alberta by sex.

Real-life treatment paradigms show infliximab is cost-effective for management of ulcerative colitis

November 12, 2014

| Victoria Ung, Thanh Nguyen, Karen Wong, Karen Kroeker, Thomas Lee, Haili Wang, Arto Ohinmaa, Philip Jacobs, Richard Fedorak

  BACKGROUND & AIMS: Infliximab is effective for induction and maintenance of response in patients with moderate to moderately severe ulcerative colitis. Previous cost analyses of infliximab treatment for ulcerative colitis used models of colectomy vs infliximab and response rates derived from early clinical trials. In real life, therapeutic options are more complex; patients…

Hysteroscopic tubal sterilization

September 30, 2014

| IHE Institute of Health Economics

Alberta STE Report written under contract with the Alberta Health Technologies Decision Process (AHTDP). This report is an evidence assessment of the clinical effectiveness and safety of hysteroscopic tubal sterilization, and the value for money associated with adopting hysteroscopic tubal sterilization in Alberta. Section Authors: Section One – Background and Context: Carmen…

Endovenous Ablation Interventions for Symptomatic Varicose Veins of the Legs

September 30, 2014

| IHE Institute of Health Economics

Alberta STE Report written under contract with the Alberta Health Technologies Decision Process (AHTDP). This report is an evidence assessment of the best available research evidence on the safety and effectiveness, cost effectiveness and budget impact of using Endovenous Laser Ablation (EVLA) or Endovenous Radiofrequency Ablation (RFA) in the management of symptomatic varicose…

Canadian estimates of health care utilization costs for rheumatoid arthritis patients with and without therapy with biologic agents

September 01, 2014

| Arto Ohinmaa, Thanh Nguyen, Cheryl Barnabe, Liam Martin, Anthony Russell, Susan G Barr, Walter Maksymowych

  OBJECTIVE: To provide Canadian estimates of health care utilization costs associated withrheumatoid arthritis (RA)-related and non-RA-related care within 4 treatment strategies and in different physical functioning categories.

First and second trimester prenatal screening update

August 31, 2014

| IHE Institute of Health Economics

Alberta STE Report written under contract with the Alberta Health Technologies Decision Process (AHTDP). This report examines the safety, screening accuracy, therapeutic efficacy, patient outcomes and cost effectiveness of first trimester Quad (1T-Quad) +/- NT and NIPT screening for fetal trisomies. Section Authors: Section One – Technology Effectiveness and Safety: Ken Bond,…

Effect of remission definition on healthcare cost savings estimates for patients with rheumatoid arthritis treated with biologic therapies.

August 04, 2014

| Cheryl Barnabe, Thanh Nguyen, Arto Ohinmaa, Joanne Homik, Susan G Barr, Liam Martin, Walter Maksymowych

  OBJECTIVE: Sustained remission in rheumatoid arthritis (RA) results in healthcare utilizationcost savings. We evaluated the variation in estimates of savings when different definitions ofremission [2011 American College of Rheumatology/European League Against Rheumatism Boolean Definition, Simplified Disease Activity Index (SDAI) ≤ 3.3, Clinical Disease Activity Index…

Economic Evaluation of Complex Health System Interventions: A Discussion Paper

July 16, 2014

| Don Husereau, Philip Jacobs, Braden Manns, Ties Hoomans, Deborah Marshall, Robyn Tamblyn

This discussion paper has been produced in response to a request from CIHR Institute of Health Services and Policy Research (CIHR IHSPR). The discussion paper will provide guidance to those tasked with conducting an economic evaluation of complex health system interventions. The guidance will be an elaboration of existing National guidelines for economic evaluation, and serve as…

An estimate of the cost of burnout on early retirement and reduction in clinical hours of practicing physicians in Canada

June 13, 2014

| Carolyn Dewa, Philip Jacobs, Thanh Nguyen, Desmond Loong

  BACKGROUND: Interest in the impact of burnout on physicians has been growing because of the possible burden this may have on health care systems. The objective of this study is toestimate the cost of burnout on early retirement and reduction in clinical hours of practicingphysicians in Canada.

Criminal Justice and Forensic Psychiatry Costs in Alberta 2014

June 09, 2014

| Philip Jacobs, Jessica Moffatt, Carolyn Dewa, Thanh Nguyen, Ting Zhang, Alain Lesage

The objective of this paper is to estimate the additional costs to the criminal justice system associated with people with mental illness who go through the system. The focus of the report is on costs in Alberta.

Low dose computed tomography for the screening of lung cancer in adults

May 30, 2014

| IHE Institute of Health Economics

Alberta STE Report written under contract with the Alberta Health Technologies Decision Process (AHTDP). This report examines the potential role of low dose computed tomography (LDCT) in screening for lung cancer in adults aged 50 years or older in Alberta. Section Authors: Section One – Social and System Demographics Analysis: Bing Guo, Dagmara Chojecki Section Two –…

Should vitamin B12 tablets be included in more Canadian drug formularies?

May 02, 2014

| Sherilyn Houle, Michael Kolber, Anderson Chuck

  Should vitamin B12 tablets be included in more Canadian drug formularies? An economic model of the cost-saving potential from increased utilisation of oral versus intramuscular vitamin B12 maintenance therapy for Alberta seniors. OBJECTIVE: The aim of this study was to estimate the cost-savings attainable if all patients aged ≥65 years in Alberta, Canada, currently on…

IHE In Your Pocket 2014. A Handbook of Health Economic Statistics

January 01, 2014

IHE In Your Pocket 2014 – a handbook of health economic statistics includes the most currently available data, presented in separate sections on the economic burden of illness, health care resources, health behaviours, health status and demographics, and health system performance. IHE In Your Pocket was designed to provide a compact, comprehensive, and comparative overview…

Vaccine development costs: a review

December 02, 2013

| Arianna Waye, Philip Jacobs, Anthony Schryvers

    Abstract: The cost of drug development is commonly cited between US$800 and US$1.8 billion. A similar statistic for vaccines is yet to be estimated, and it is unclear whether the cost of vaccines is similar to drug development. Financial and regulatory policy significantly impacts the extent and cost of pharmaceutical development, and as such it is important that…

Investigation and Analysis of Options to Enhance Canada’s Patented Medicine Price Ceiling Regulatory Regime

October 01, 2013

| Don Husereau, Philip Jacobs

This report is an analysis of the theoretical basis for value-based pricing, relevant international developments, and areas for improvement within Canada’s current patented drug pricing system. This report intends to inform future policy research, advice, and Canadian drug policy discussions regarding the feasibility and implementation of value-based pricing approaches.

Delivery and Evaluation of a Mental health Promotion Intervention for Alberta Workplace Supervisors and Managers

September 01, 2013

| Angus Thompson, Philip Jacobs, Jessica Moffatt, Arianna Waye

This service and evaluation project originated from the Alberta courts via the collaboration of two Alberta Ministries; (1) Alberta Justice & Soliciter General and (2) Alberta Environment and Sustainable Resource Development. The impetus arose when a judge in an environmental protection case observed a need for additional attention to the mental health of workers. An Alberta…

Potential impacts of the Alberta fetal alcohol spectrum disorder service networks on secondary disabilities: a cost-benefit analysis.

July 18, 2013

| Thanh Nguyen, Jessica Moffatt, Philip Jacobs, Anderson Chuck, Egon Jonsson

  Objectives: To estimate the break-even effectiveness of the Alberta Fetal Alcohol Spectrum Disorder (FASD) Service Networks in reducing occurrences of secondary disabilities associated with FASD.

Total prosthetic replacement of the temporomandibular joint: a rapid evidence assessment and economic analysis

May 03, 2013

| IHE Institute of Health Economics

This health technology assessment report has been produced in response to a request from Alberta Health (AH) as part of the Alberta Health Technologies Decision Process (AHTDP) to perform an evaluation of the scientific evidence on the safety and effectiveness of TMJ Concepts® and Biomet® Microfixation TMJ prostheses for adults who are indicated for total TMJ replacement.…

Transcutaneous Bilirubinometry for the Screening of Neonatal Hyperbilirubinemia

April 03, 2013

| IHE Institute of Health Economics

Transcutaneous Bilirubinometry for the Screening of Hyperbilirubinemia in Neonates ≥35 Weeks’ Gestation This report was prepared for Alberta Health Services (AHS) and focuses on the published evidence about the safety, test accuracy, and clinical impact of the use of transcutaneous bilirubin (TcB) test for the screening of significant hyperbilirubinemia in term or late…

Stingray™ catheter and guidewire for recanalization of coronary chronic total occlusions: A rapid evidence assessment

March 15, 2013

| Ken Bond, Liz Dennett, Christa Harstall

The review summarizes the current evidence on the safety, efficacy, effectiveness, and potential cost-effectiveness on the use of the BridgePoint Medical System (consisting of the CrossBoss™ catheter, Stingray™ catheter, and Stingray™ guidewire) for the recanalization of refractory coronary chronic total occlusions (CTOs). The report also describes the relevant…

Islet transplantation for the treatment of type 1 diabetes

February 13, 2013

| IHE Institute of Health Economics

Alberta STE Report written under contract with the Alberta Health Technologies Decision Process (AHTDP). This report is an update of the 2008 report on islet transplantation (IT) for Type 1 diabetes (T1DM). Section One of this analysis was intended to describe the profile of T1DM (definition, progression, epidemiology, and population dynamics of affected adults in Alberta, in Canada,…

The Effectiveness and Safety of Preschool Hearing Screening Programs

November 23, 2012

| IHE Institute of Health Economics

Alberta STE Report written under contract with the Alberta Health Technologies Decision Process (AHTDP). This report performs an evaluation of the scientific evidence on the safety, performance, and effectiveness of universal and targeted preschool hearing screening (PHS) to inform the Infant and Preschool Screening Framework being developed by the Community and Public Health (CPH)…

The Safety and Effectiveness of Preschool Vision Screening

November 05, 2012

| IHE Institute of Health Economics

Alberta STE Report written under contract with the Alberta Health Technologies Decision Process (AHTDP). This review focused on the best evidence available on the use of PSVS to detect vision conditions in asymptomatic preschool children (aged from birth to 6 years; not necessarily considered at risk for developing visual impairment) to determine the safety and efficacy/effectiveness…

The Safety and Efficacy/Effectiveness of Using Automated Testing Devices for Universal Newborn Hearing Screening: An Update

October 14, 2012

| IHE Institute of Health Economics

Alberta STE Report written under contract with the Alberta Health Technologies Decision Process (AHTDP). This report is an update of a 2007 report. Permanent congenital hearing impairment/loss (PCHI/PCHL) is one of the most common congenital anomalies found at birth which can lead to delays and deficits in the development of speech, language, cognition, and learning, as well as…

First and Second Trimester Prenatal Screening for Trisomies 13, 18, and 21, and Open Neural Tube Defects

September 01, 2012

| IHE Institute of Health Economics

Alberta STE Report written under contract with the Alberta Health Technologies Decision Process (AHTDP). This report provides an epidemiological profile of fetal aneuploidy and open neural tube defects (ONTD); describes the patterns of care, utilization trends, and factors affecting the provision of first and second trimester screening (FASTs) services for fetal aneuploidy and…

Effect of a pharmacist-managed hypertension program on health system costs: an evaluation of the Study of Cardiovascular Risk Intervention by Pharmacists-Hypertension (SCRIP-HTN)

June 11, 2012

| Sherilyn Houle, Anderson Chuck, Finlay McAlister, Ross Tsuyuki

  STUDY OBJECTIVE: To quantify the potential cost savings of a community pharmacy-basedhypertension management program based on the results of the Study of Cardiovascular Risk Intervention by Pharmacists-Hypertension (SCRIP-HTN) study in terms of avoided cardiovascular events-myocardial infarction, stroke, and heart failure hospitalization, and to compare these cost savings…

Bariatric treatments for adult obesity

March 20, 2012

| IHE Institute of Health Economics

Alberta STE Report written under contract with the Alberta Health Technologies Decision Process (AHTDP). This report summarizes available key information on the use of bariatric treatments for adult obesity in Alberta and North America (mainly Canada). This analysis was intended to describe the profile of adult obesity (definition, progression, epidemiology, and population dynamics…

Insulin pump therapy for type 1 diabetes

March 20, 2012

| IHE Institute of Health Economics

Alberta STE Report written under contract with the Alberta Health Technologies Decision Process (AHTDP). This report examines the research evidence on the safety and efficacy of insulin pump therapy, as compared to multiple daily insulin injections, in the treatment of children, adults, and pregnant women diagnosed with type 1 diabetes. The report also analyses the economic impact…

Return on Investment for Mental Health Promotion: Parenting Programs and Early Childhood Development

January 11, 2012

| Carissa Escober-Doran, Philip Jacobs, Carolyn Dewa

This study measures the return on investment for parent training at the pre- or early childhood stage. The purpose is to prevent conduct disorders in childhood, and mental health problems in adolescence and adulthood. The program studied is the Triple P program. The context is a one year birth cohort in Alberta. The costs are for a universal parental training program. The downstream…

Everybody’s business: economic surveillance of public health services in Alberta, Canada

December 13, 2011

| Philip Jacobs, Jessica Moffatt, Arto Ohinmaa, Egon Jonsson

  Background: To address public health risk factors, governments conduct interventions in many different ministries, including non-health ministries. In order to understand the scope and cost of public health in Alberta, we developed a survey of government public health interventions. We included any government ministry or public organization, which includes health as a stated…

Are economic evaluations an important tool in vaccine policy decisions?

October 10, 2011

| Philip Jacobs

  Abstract: In the 1980s, drug prices began rising considerably worldwide, and in the 1990s, countries began incorporating health economics into the scientific review process. Rising prices in vaccines began around the year 2000 and national bodies began to use health economics to review vaccines in the next decade. Health economics is a discipline that evaluates alternative…

Everybody’s Business: The Cost of Multi-Department Involvement in Public Health in Alberta

September 14, 2011

| Philip Jacobs, Jessica Moffatt, Egon Jonsson, Arto Ohinmaa, Cathy Gladwin

The Institute of Health Economics (IHE) has completed a scan to determine what public health-related costs are borne by government departments, ministries, and agencies. The final report, Everybody’s Business: The Cost of Multi-Department Involvement in Public Health in Alberta, was funded by Alberta Health Services (AHS) as part of the Project 2030 initiative that saw the…

The Alberta Survey of Addictive Behaviours and Mental Health in the Workforce: 2009

August 08, 2011

| Angus Thompson, Philip Jacobs, Carolyn Dewa

The Alberta Survey of Addictive Behaviours and Mental Health in the Workforce: 2009 is the third such study conducted since 1992. It provides an interesting, comprehensive picture of many issues related to the mental health of workers across all sectors in Alberta. Introduction IHE is pleased to release the final report of The Alberta Survey of Addictive Behaviours and Mental Health…

Fetal Alcohol Spectrum Disorder: Management and Policy Perspectives of FASD

November 01, 2010

Reflecting the recent increased public awareness of the topic, this is the first and most comprehensive resource for over a decade on the molecular basis, prevalence, treatment options, socioeconomic impact, and prevention strategies of FASD. Edited by world-renowned experts, this compendium includes the latest research results to provide new insights and realistic estimations…

Primary Care Economics

September 01, 2010

| Philip Jacobs, Jessica Moffatt, John Rapoport, Neil Bell

This overview provides an analysis of the economic landscape of primary care in Alberta and a discussion of the proposed reforms in terms of ends and means.

IHE In Your Pocket 2010: A Handbook of Health Economic Statistics

August 19, 2010

IHE In Your Pocket 2010 provides current health economic statistics, presented in separate sections on health care resources, health behaviours, health status and demographics, and health system performance. To access the IHE PowerPoint chartpack, please click the following link: IHE PowerPoint Slides.

The Cost of Mental Health and Substance Abuse Services in Canada

June 01, 2010

| Philip Jacobs, Carolyn Dewa, Alain Lesage, Helen-Maria Vasiliadis, Carissa Escober-Doran, Gillian Mulvale, Rita Yim

The economic impact of mental illness and addictions is felt throughout society - in the health care system, the social services system, education, criminal justice, and the workplace. In this booklet we conducted a provincial and national level analysis of the expenditures on mental health and addictions in Canada.

Cost-effectiveness of 21 alternative cervical cancer screening strategies.

April 12, 2010

| Anderson Chuck

  OBJECTIVES: The aim of this study is to assess the cost-effectiveness of 21 alternativecervical cancer screening (CCS) strategies.

Parkinson Disease: A Health Policy Perspective

April 01, 2010

Part of the successful Institute of Health Economics (IHE) book series, this handbook and ready reference adopts a unique approach in combining policy recommendations with specific treatment options for Parkinson patients. The first part of the book deals with the clinical medical, social and economical aspects of Parkinson Disease. These ten chapters include the latest diagnosis…

Routine preoperative electrocardiogram and chest x-ray prior to elective surgery in Alberta, Canada

February 08, 2010

| Thanh Nguyen, Saifee Rashiq, Egon Jonsson

  PURPOSE: A study was undertaken to evaluate the utilization rates of routine preoperativeelectrocardiogram (ECG) and chest x-ray (CXR) by sex, age, and most frequent surgery type, and to estimate the total cost of these screening tests.

Cost Containment and Efficiency in National Health Systems: A Global Comparison

July 01, 2009

Written by health policy experts, the book gives a comprehensive overview of 8 different national health care systems and focuses in particular on the different approaches to maintain efficiency and to contain overall healthcare costs. Each chapter identifies the 4-5 specific policies with the highest impact for the respective country over the past 20-30 years and the current policy…

Human papillomavirus (HPV) Testing in Alberta

May 01, 2009

| IHE Institute of Health Economics

Alberta STE Report written under contract with the Alberta Health Technologies Decision Process (AHTDP). This report is about testing for Human Papillomavirus (HPV). HPV is one of the most common sexually transmitted infections and can also cause cervical cancer. Cervical screening aims to reduce cervical cancer incidence and mortality by detecting precancerous lesions early. Until…

Les statistiques économiques de la santé mentale: format poche

May 01, 2009

Les estimations indiquent que un canadien sur trois aura un problème de santé mentale durant sa vie. Peu de canadiens réalisent l’impact que la mauvaise santé mentale a sur les familles, les communautés, les systèmes de santé et l’économie. La santé mentale est aussi importante que la santé physique…

Financial Incentives to Physician Practices: A literature review of evaluations of physician remuneration models

March 19, 2009

| Charles Yan, JoAnn Kingston-Riechers, Anderson Chuck

This report provides information regarding the impact of physician reimbursement models on five dimensions specified in the Provincial Alternate Relationship Plan Program Evaluation. The impact of physician reimbursement models were assessed on the following five dimensions: Health service utilization Access to care Quality of services Patient satisfaction Physician satisfaction…

Assistive Reproductive Technologies: a Literature Review and Database Analysis

January 01, 2009

| Anderson Chuck, Charles Yan

This report on assisted reproductive technologies (ARTs) is a literature review and secondary analyses of administrative health data conducted to provide information on the direct health care costs associated with multiple pregnancies and the potential cost impact of ARTs in Alberta. It examines the impact of multiple pregnancies and Assistive Reproductive Technologies on health…

Review of Mental Health Economics Evaluation Studies

November 01, 2008

| Arto Ohinmaa, Carolyn Dewa, Trish Chatterley, Philip Jacobs

The mental health economics literature review shows that about one third of the articles found in the search did not include any or just minimal economic information. The database of 4005 references can be used to analyze the mental health economic literature e.g. by diagnosis, type of economic analysis, treatment, publication year, and targeted population.

How Much Should We Spend on Mental Health?

September 04, 2008

| Kim-Lian Lim, Philip Jacobs, Carolyn Dewa

How much should we spend on mental health? provides an overview of the various approaches that have been used to answer the question of health spending, applied to the mental health context. Estimates using several of the approaches are provided. Information Specialists: Trish Chatterley, Liz Dennett

IHE In Your Pocket 2008: A Handbook of Economic Statistics

August 28, 2008

IHE In Your Pocket (IHE IYP) presents a bird’s eye view of the economic aspects of the Canadian healthcare system with international comparisons. IHE IYP 2008 has been reorganized and expanded, and includes the most currently available data. Topics are presented related to resources first, addressing in turn economic burden of illness, expenditures, physical resources, prices,…

Financing Health Care: New Ideas for a Changing Society

January 27, 2008

Discussing issues of health care financing, this is the first volume in a completely new public health book series, edited by the Institute of Health Economics (IHE) in Alberta, Canada. Starting with various funding methods, it also features sections on different health care payment and purchasing mechanisms, as well as equity issues. This book is of interest to medical and allied…

Evidence of Benefits from Telemental Health: A Systematic Review

October 13, 2007

| David Hailey, Risto Roine, Arto Ohinmaa

Evidence of benefit from telemental health applications: a systematic review. This review considers the evidence of benefit from use of telemental health (TMH) in studies that had clinical, economic, or administrative outcomes. The review also includes studies that provided information on the accuracy or feasibility of TMH. Information Specialist: Janice Varney

Mental Health Economic Statistics: In Your Pocket

September 09, 2007

This booklet brings together information that demonstrates the burden of mental illness and where Canada’s mental health system ranks among other developed countries. It also provides important consolidated information on key indicators that depict the state of our mental health system.

World in Your Pocket: A Handbook of International Health Economic Statistics

August 13, 2007

World In Your Pocket - A Handbook of International Health Economic Statistics includes the most current available data, presented in separate sections on health status, health care costs, health resources, health resources, health resource utilization, and health system performance.

Economics of Childhood Immunizations in Canada: Data Book

May 13, 2007

| Philip Jacobs, Rita Yim, Arto Ohinmaa, Janice Varney, Anita Hanrahan, Joy Loewen, Laura Mashinter, Bev Baptiste, Margaret Russell

This booklet is a compendium of existing statistics related to the economic aspect of childhood immunizations in Canada. It brings together, in one document, data obtained from a wide range of sources. It covers topics related to the economic and epidemiological burden of childhood diseases, resources used, and system performance from provincial, national, and international viewpoints.

Cost-effectiveness in the Detection of Syphilis

February 13, 2007

| Anderson Chuck, Philip Jacobs, Thanh Nguyen, Arto Ohinmaa, Janice Varney

Evaluation of enzyme immunoassay and immunoblot testing for the diagnosis of syphilis in Alberta. A new protocol for testing and diagnosing syphilis has been proposed in Alberta. The protocol proposes replacing rapid plasma reagin (RPR) with enzyme immunoassay (EIA) as the standard initial test and replacing Treponema pallidum (T. pallidum) particle agglutination assay (TPPA) and…

Mental Health Economic Statistics In Your Pocket (2006)

November 04, 2006

This Mental Health Economic Statistics booklet brings together information that demonstrates the burden of mental illness and where Canada’s mental health system ranks among other developed countries. Mental Health Economic Statistics provides important consolidated information on key indicators that depict the state of our mental health system. NOTE: In 2006 the Alberta…

Image-Guided Vacuum-Assisted Breast Biopsy (IGVB) Economic Analysis

June 11, 2006

| Arto Ohinmaa, Egon Jonsson, Philip Jacobs

Institute of Health Economics Working Paper WP 06-02. The purpose of this report is to examine the economic implications for the province if a supplement to the fee schedule were allowed for vacuum-assisted biopsies. NOTE: In 2006 the Alberta Heritage Foundation for Medical Research HTA unit moved to IHE. Documents produced in and prior to 2006 have different formats; the format…

Costing of Alternative Interventions for the Treatment of Morbid Obesity

June 05, 2006

| Philip Jacobs, Arto Ohinmaa, Scott Klarenbach, Anderson Chuck, Raj Padwal, Janice Varney, Doug Lier

Institute of Health Economics Working Paper WP 06-01. The purpose of this report is to examine the economic issues associated with LGB. The following analyses were conducted: a systematic review of the economic literature on obesity-related interventions, with special attention to the differences between gastric bypass and gastric banding; an estimate of the Alberta population…

Health Care Utilization and Direct Health Care Costs of Diabetes in Urban and Rural Saskatchewan

March 17, 2006

| Sheri Pohar, Sumit Majumdar, Philip Jacobs, Jeffrey Johnson

Institute of Health Economics Working Paper WP 06-04. The purpose of this analysis was to compare health care utilization as well as costs and mortality of individuals with diabetes in the province of Saskatchewan from 1999 to 2001, according to residential location. NOTE: In 2006 the Alberta Heritage Foundation for Medical Research HTA unit moved to IHE. Documents produced in…

IHE in your pocket (2006)

February 01, 2006

This is the first edition of IHE In Your Pocket. This chart book is designed to be an easy reference guide to indicators of Canadian health care economic performance. Economic is broadly defined to include both means (personal and formal resources) and ends (health outcomes). The chart book is intended to provide the user with a concise, accessible, and reasonably comprehensive…

Epidemiologic and Cost Trends in Diabetes in Saskatchewan, 1991 To 2001

October 01, 2005

| Sheri Pohar, Scot Simpson, Sumit Majumdar, Philip Jacobs, Arto Ohinmaa, William Osei, Mary Rose Stang, Winanne Downey, Jeffrey Johnson

Institute of Health Economics Working Paper WP 05-06. The purpose of this study was to analyze epidemiologic and cost trends from 1991 to 2001 in the province of Saskatchewan for a cohort of individuals identified as having diabetes and for a randomly selected control cohort. The objectives were to: explore epidemiologic trends (i.e., prevalence, incidence and mortality) in diabetes…

Institutional Medical Incident Reporting Systems - A Review

August 01, 2005

| Anita Simon, Robert Lee, David Cooke, Diane Lorenzetti

Alberta Heritage Foundation for Medical Research (AHFMR) HTA Initiative #17. This paper focuses on incident reporting systems relevant to the hospital and efforts to improve patient safety and clinical outcomes. Costs associated with incident reporting systems are included wherever possible. This paper aims to assess the effectiveness of hospital incident reporting systems in improving…

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