Aplicacion Del Analisis Coste Efectividad De Los Medicamentos Y Los Programas De Salud En La Planificacion Sanitaria

The ultimate purpose of this book on economic evaluation is to be a text for consultation and inspiration to anyone who wishes to design, carry out and analyse an economic evaluation of a drug or health technology, in order to obtain valid and quality results and thus serve to make better health-related decisions in our country. Unfortunately, the resources available in our National Health System to cover all the healthcare needs of our society are ever more limited; therefore, it is absolutely necessary to prioritise the allocation of resources and to use these resources to finance the therapeutic options that are most efficacious, safe and cost-effective (that will achieve the best health results in patients with the monetary investment carried out). Economic evaluations will be instruments of invaluable help for healthcare professionals and other decision-making agents of the system when it comes to making a more efficient use of existing resources, maximising the therapeutic benefit.

Contiene: Una introduccion al tema de la evaluacion economica en salud; Analisis de costos; Analisis de costo-efectividad; Analisis de costo-utilidad; Analisis de costo-beneficio; Lectura critica de articulo de EES.

Un modelo de diagnóstico del sistema sanitario es requisito previo en cualquier intento de reforma porque ofrece una radiografía de su validez. Se trata de una herramienta conceptual útil para los profesionales afectados por la reforma a nivel macro, ya que facilita un mecanismo heurístico a los responsables y un punto de partida necesario para el proceso de toma de decisiones. Encontrar un buen modelo de diagnóstico no es fácil y en la mayoría de los casos son incompletos. En el intento por contribuir a los planteamientos teóricos y prácticos, se ofrece un modelo descriptivo y predictivo que no pretende ser una categorización conceptual sino una especificación de las variables y sus interrelaciones en el diseño que representa un sistema de salud real. INDICE: Salud, sanidad y política sanitaria. Sistema y modelo sanitarios: perspectivas. Diagnóstico de un sistema de salud. Proceso de planificación. Alcance del proceso de planificación. Valoración de necesidades y de utilización de servicios. Implicados en el proceso de planificación.

The Government recognises that many lifestyle-driven health problems are at alarming levels: obesity; high rates of sexually transmitted infections; a relatively large population of drug users; rising levels of harm from alcohol; 80,000 deaths a year from smoking; poor mental health; health inequalities between rich and poor. This white paper outlines the Government's proposals to protect the population from serious health threats; help people live longer, healthier and more fulfilling lives; and improve the health of the poorest. It aims to empower individuals to make healthy choices and give communities and local government the freedom, responsibility and funding to innovate and develop ways of improving public health in their area. The paper responds to Sir Michael Marmot's strategic review of health inequalities in England post 2010 - "Fair society, healthy lives" (available at http://www.marmotreview.org/AssetLibrary/pdfs/Reports/FairSocietyHealthyLives.pdf) and adopts its life course framework for tackling the wider social determinants of health. A new dedicated public health service - Public Health England - will be created to ensure excellence, expertise and responsiveness, particularly on health protection where a national response is vital. The paper gives a timetable showing how the proposals will be implemented and an annex sets out a vision of the role of the Director of Public Health. The Department is also publishing a fuller story on the health of England in "Our health and wellbeing today" (http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/@ps/documents/digitalasset/dh_122238.pdf), detailing the challenges and opportunities, and in 2011 will issue documents on major public health issues.