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SUMMARY:Modelling the cost of cancer: understanding inter-relationships be
 tween types of care - Dr Paula Lorgelly\, Associate Professor\, Centre for
  Health Economics\, Monash University
DTSTART:20150907T100000Z
DTEND:20150907T110000Z
UID:TALK60596@talks.cam.ac.uk
CONTACT:Ed Wilson
DESCRIPTION:There is little current evidence on the cost of cancer in the 
 era of (expensive) stratified medicines. Even less is known about the rela
 tionship between pharmaceuticals and medical services\, emergency presenta
 tions and hospitalisations\, and particularly whether the different types 
 of care are substitutes or complements.  This paper estimates the current 
 expenditure of delivering different types of cancer care\, compares the de
 terminants of expenditure\, and attempts to identify inter-relationships\,
  using a large linked dataset: Cancer 2015. Cancer 2015 is a prospective l
 ongitudinal population-based molecular cohort study in Victoria\, Australi
 a. The cohort data (clinical\, genomic\, patient-demographics and treatmen
 t intention) have been linked to administrative reimbursement data (Common
 wealth and State health care resource use and cost). \n\nWe estimate the b
 i-monthly cost of each type of health care resource use (pharmaceuticals\;
  medical services\, which includes general practice visits\, pathology tes
 ts and radiology\; emergency presentations\; hospital admissions and day c
 ase visits) for a two year period. A panel regression for total health exp
 enditure is estimated and a fractional multivariate logit model is used to
  estimate the determinants of the various shares of health expenditure\, b
 efore predicting out the effects on total expenditure using the estimated 
 parameters.  \n\nThe results offer insight regarding forward budget planni
 ng\, not only do they provide estimates of the various shares of health ex
 penditure\, but also the effect of possible policy and practice changes on
  both total health expenditure and which budget bears the cost.
LOCATION:Large  Seminar Room\, 1st Floor\, Institute of Public Health\, Un
 iversity Forvie Site\, Robinson Way\, Cambridge
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