Schedule

Measuring public and patient values for priorities in health care

Health care regulators are increasingly requiring scientific methods to quantify the value stakeholders attach to health status and health care programmes. Methods aiming to quantify the benefit of better health, however, have developed under diverse disciplines and the assumptions underlying the prominent paradigm to characterizing health status - the quality adjusted life year - may not be consistent with the public's values and preferences. This realization has led investigators to research alternative stated preference approaches to valuing health and health status.

This full day workshop will concentrate on the ideas that underpin value, and will highlight an approach to measuring value in health: the discrete choice experiment method. The morning components will overview different approaches regarding prominent thinking surrounding understanding the value of health. This discussion will be followed by qualitative approaches to measuring stakeholders' attitudes toward health care programmes. The afternoon workshop will start with an overview of the theory underpinning discrete choice experiments; this will be followed by a review of the methods necessary to successfully execute a discrete choice study. All workshop components will be highlighted using real-life examples of how researchers have applied qualitative and quantitative discrete choice methods to inform health care decision making.

9:45 - 10:00 AM

Coffee and Registration

10:00 - 10:30 AM

Introduction, Welcome, and Objectives of the Workshop
Dean Regier, Senior Health Economist, Canadian Centre for Applied Research in Cancer Control

10:30 - 11:30 AM

Introduction to valuing health benefit and overview of approaches to eliciting value in health
Chris Skedgel, Research Health Economist, Atlantic Clinical Cancer Research Unit, Capital Health; PhD Student, The University of Sheffield

11:30 AM - 12:15 PM

Qualitative approaches to characterize stakeholders' attitudes
Helen McTaggart-Cowan, Health Economist, Canadian Centre for Applied Research in Cancer Control (ARCC)

12:15 - 1:15 PM

Lunch

1:15 - 3:00 PM

Applying the discrete choice experiment method:
- Overview to approach
- Defining the choice questions
- Statistical analysis of discrete choice data
- Results and Welfare Data

Dean Regier, Senior Health Economist, Canadian Centre for Applied Research in Cancer Control

3:00 - 3:30 PM

Coffee Break

3:30 - 4:30 PM

Substantive examples, wrap-up, and questions

 

6:00 - 8:00 PM

Welcome Reception, Registration, and Poster Set-up

7:30 AM - 5:00 PM

Registration and Poster Viewing

7:30 - 8:30 AM

Breakfast (at leisure)

8:30 - 9:00 AM

Opening Remarks

9:00 - 10:15 AM

OPENING PLENARY

Honourable Fred Horne, Minister of Health, Government of Alberta

Philippe Couillard, Strategic Advisor, SECOR (former QC minister of health)

10:15 - 10:45 AM

Break

10:45 AM- 12:15 PM

CONCURRENT SESSIONS: ORGANIZED SESSIONS AND ABSTRACT PRESENTATIONS

1A: Organized sessions

Understanding how to conduct successful decision maker-led research
Laurel Taylor, IHSPR, CIHR

Handout 1
Handout 2
Handout 3

1B: Oral Abstracts

1: Addressing inequity to achieve the maternal and child health millennium development goals: Looking beyond averages
George Ruhago, Tanzania

2: Value for Money for diabetes pathway: an interdisciplinary and shared approach
Barbara Bini, Italy

Handout

3: Novel approaches to weighting in multi-criteria decision analysis: Results from a feasibility study
Nick Bansback, BC

4: Using Program Budgeting and Marginal Analysis in the Public Health division of the Saskatoon Health Region
Suzanne Mahaffey, SK

Handout

1C: Organized Sessions

Building capacity for interprofessional collaboration: strategic partnerships with the education sector
Louise Nasmith, University of British Columbia

Handout

1D: Oral Abstracts

1: Measuring the Impact of the PhilHealth Sponsored Program on Indigents
Marian Theresia Valera, Metro Manila

2: Rationing on the programme level – changing views on the appropriate decision-maker
Mari Broqvist, Sweden

Handout

3: Partnerships for improving health systems in low income countries: Are they legitimate?
Lydia Kapiriri, ON

Handout

4: Valuing individual-level utility for health economic decision making in cost benefit analysis
Dean Regier, BC

Handout

1E: Oral Abstracts

1: Age, self-responsibillity, evidence based health care as priorisation criteria - a participative analysis
Michael Lauerer, Germany

Handout

2: Eliciting values of decision-makers and members of the public in healthcare priority setting
Evelyn Cornelissen, BC

Handout

3: Preferences of decision-making agents and the general public for the allocation of healthcare resources
Chris Skedgel, NS

Handout

4: Setting priorities for end of life care: approaches to economic evaluation
Joanna Coast, UK

Handout

12:15 AM - 1:30 PM

Lunch and Poster Viewing

1:30 - 3:00 PM

CONCURRENT SESSIONS: ORGANIZED SESSIONS AND ABSTRACT PRESENTATIONS

2A: Oral Abstracts

1: Implementation focussed priority setting: A cooperative approach bridging health care and social services
Anne-Claire Marcotte, QC

Handout

2: Understanding change in health systems: tools for improving co-produced approaches to large system transformation
Cameron Willis, BC

Handout

3: Disinvestment in the English National Health Service: a Qualitative Investigation
Tom Daniels, UK

Handout

4: Oregon Health Plan Revisited
Janne Nikkinen, Finland

Handout

2B: Oral Abstracts

1: Priority setting in the Prevention of mother to child Transmission for HIV programme in Tanzania
Elizabeth H. Shayo, Norway

Handout

2: Disinvestments in practice
Mara Airoldi, UK

Handout

3: District Health Planning and Priority Setting: Lessons from Ethiopia
Kadia Petricca, ON

 

4: ‘Innovation’ in health care coverage decisions: All talk and no substance?
Stirling Bryan, BC

Handout

2C: Oral Abstracts

1: Methodological questions concerning the elicitation of social values for priority setting
Neil McHugh, UK

Handout

2: Supporting coverage decisions through empirical research; an exploratory analysis of case studies in the Netherlands
Gert Jan van der Wilt, EZ

Handout

3: Targeting the "high risk groups": Politics and pragmatics of targeted intervention program against HIV/AIDS in India
Shamshad Khan, BC

4: Setting priorities in primary health care – on whose conditions?
Eva Arvidsson, Sweden

2D: Oral Abstracts

1: Discussing Costs in the Clinical Encounter: Forging partnerships between patients and clinicians
Marion Danis, MD

Handout

2: High Performance in Healthcare Resource Allocation
Neale Smith, BC

Handout

3: Enhancing Monitoring and Evaluation Practice: A Collaborative Initiative from Pacific Health Professionals and Researchers
Aliitasi Su'a-Tavila, Fiji

Handout

4: How can bedside rationing be justified despite coexisting inefficiency? The need for “benchmarks of efficiency”
Marion Danis, Germany

Handout

2E: Oral Abstracts

1: Application of Program Budgeting and Marginal Analysis at a macro level within the Fraser Health Authority
Colleen Hart, BC

Handout

2: Priority setting in times of constraint: a case study in community services within the Vancouver Coastal Health Authority
Craig Mitton

Handout

3:00 - 3:20 PM

Break

3:20 - 4:30 PM

PLENARY: Priority setting in an era of austerity and strong fiscal constraints

Howard Waldner, President and CEO, Vancouver Island Health Authority, British Columbia

Handout

Jennifer Gibson, Director, Partnerships and Strategy, Joint Centre for Bioethics, University of Toronto - Canada

Handout

Cam Donaldson, Yunus Chair in Social Business and Health, Glasgow Caledonian University

Handout

4:30 - 5:30 PM

International Society on Priorities in Health Care Annual General Meeting

6:30 PM

GALA DINNER

7:30 AM - 5:00 PM

Registration and Poster Viewing

7:30 - 8:30 AM

Breakfast (at leisure)

8:30 - 10:00 AM

PLENARY: Health Policy Challenges: Aging populations and the mix of health services required

Stirling Bryan, Department of Social Policy, London School of Economics

Handout

Diane McArthur, Assistant Deputy Minister and Executive Officer, Ontario Public Drug Programs

Handout

Steven Lewis, President, Access Consulting

Handout

10:00 - 10:30 AM

Break

10:30 - 12:00 PM

CONCURRENT SESSIONS: ORGANIZED SESSIONS AND ABSTRACT PRESENTATIONS

3A: Organized Sessions

Patients as Partners in BC: The Patient Voice in Priority Setting (panel)
Connie Davis, ImpactBC

Handout

3B: Oral Abstracts

1: Case Studies on Disinvestment and Reallocation Decision-Making Processes: A Systematic Review
Julie Polisena, ON

Handout

2: Adaptation of Evidence Reviews for Payer Policy Decisions: A Multi-State Public Initiative in New England
Steven Pearson, MA

Handout

3: Prioritizing child health interventions in Ethiopia: impacts on child mortality, life expectancy and Gini health
Kristine Husøy Onarheim, Norway

Handout

4: Valuing health at the end of life: a stated preference discrete choice experiment
Koonal Shah, UK

Handout

3C: Organized Sessions

Analysis of Health Insurance Mandate Proposals for State Governments: California's Partnership for Improving Benefits Decision Making
Garen Corbett, California Health Benefits Review Program, University of California

Handout 1
Handout 2
Handout 3
Handout 4
Handout 5

3D: Oral Abstracts

1: Commissioning change: central policy decisions– local impact
Sara McCafferty, UK

Handout

2: The link between Institutional Factors and Quality in the Ghanaian Health System
Eugenia Amporfu, Ashanti

3: Economic evaluation of universal public finance of tuberculosis treatment in South Asia
Stephane Verguet, WA

4: Evaluation of Rashtriya Swasthya Bima Yojana, a Health Insurance Scheme for below poverty line people in India
Prateek Rathi, India

Handout

3E: Organized Sessions

Coming together to ‘make the impossible project – possible’: prioritizing the use of a medical isotope
Michelle Mujoomdar, CADTH

Handout

12:00 - 1:15 PM

Lunch

1:30 - 3:00 PM

CONCURRENT SESSIONS: ORGANIZED SESSIONS AND ABSTRACT PRESENTATIONS

4A: Oral Abstracts

1: Accountable and reasonable? Priority-setting in the UK NHS
Tim Freeman, UK

Handout

2: Strengthening health management and leadership under decentralisation: insights from four districts in Indonesia.
Augustine Asante, NSW

3: Prioritising a new intervention when the evidence is still emerging
Jonathan Howell, UK

Handout

4: Simulation Modeling with System Dynamics (SD) to Plan Osteoarthritis Care Delivery in Alberta
Sonia Vanderby, AB

Handout

4B: Oral Abstracts

1: Are Individuals Luck Egalitarians?
Gustav Tinghög, Sweden

 

2: Mental health services in Ethiopia: cost-effectiveness of implementing mental health interventions.
Kirsten Bjerkreim Pedersen, Norway

 

3: Do disease labels affect the general public’s ratings of hypothetical rationing scenarios?
Helen McTaggart-Cowan, UK

Handout

4: Introduction of vaccination against rotavirus – a case study of the Priority Setting in Norway
Ånen Ringard, Norway

Handout

4C: Organized Sessions

Setting priorities: bridging the gap between theory and practice through stakeholder engagement. Interactive workshop
Mara Airoldi, London School of Economics and Political Science

4D: Oral Abstracts

1: Swift and evidence informed policy response to delivering Emergency Obstetric Care (EmOC) in Shanghai, China.
Hong Jiang

Handout

2: Economics and value of child health
Fergall Magee, NS

Handout

3: Therapeutic benefit as a criterion for prioritizing health care –Attitudes of the general public
Adele Diederich, Bremen

Handout

4: Modeling the cost-effectiveness of prostate cancer screening to inform policy in British Columbia
Reka Pataky, BC

Handout

4E: Oral Abstracts

1: Development of a disinvestment framework to guide resource allocation practices in health service delivery organizations
Diane Schmidt, BC

Handout

2: Head to head comparisons of different types of interventions in Ethiopia: does equity make any difference?
Kjell Arne Johansson, Norway

Handout

3: Eliciting reasoned and robust social values for use in health care priority setting
Rachel Baker, UK

Handout

4: Priority and Partnerships - Building the Road to Quality and Sustainability
Linda Smyth, AB

Handout

3:00 - 3:30 PM

Break

3:30 - 5:00 PM

PLENARY: Achieving high quality health care and high performing organizations

Ted Marmor, Professor Emeritus, Yale School of Management, Yale University

Ross Baker, Professor, Institute of Health Policy, Management and Education, University of Toronto

Handout

Cathy Ulrich, President and CEO, Northern Health, British Columbia - Canada

Handout

DINNER AT LEISURE

7:30 AM - 12:00 PM

Registration and Poster Viewing

7:30 - 8:30 AM

Breakfast (at leisure)

8:30 - 10:00 AM

CONCURRENT SESSIONS: ORGANIZED SESSIONS AND ABSTRACT PRESENTATIONS

5A: Oral Abstracts

1: Long-Range Effects of Health Care Rationing: Allocation, Patient Autonomy, and Physician Liabilty
Bjoern Schmitz-Luhn, NRW

Handout

2: Governance of Rationing as an Art of Juggling
Ann-Charlotte Nedlund, Sweden

Handout

3: A knowledge partnership supporting service improvement in NHS Scotland
Jillian Evans, Scotland

Handout

4: What are the attitudes of physicians towards shared decision-making? A systematic review of the literature
Samantha Pollard, BC

Handout

5B: Organized Sessions

Preferred Health Services Provider Partnerships Deliver Results: The Application of Outcome-Driven, Evidence-Informed Rehabilitation
Tyler Amell, Centric Health

5C: Oral Abstracts

1: Ethical Priorities for Primary Healthcare: Addressing Structural Violence and Structural Inequities through an Evidence-Based Intervention
Annette Browne, BC

Handout

2: Implementation of a rigorous and transparent priority setting framework in the IWK Health Centre, Halifax, Nova Scotia
Matthew Campbell, NS

Handout

3: Priority setting, patient autonomy and shared decision-making – a conflicting marriage?
Lars Sandman, Sweden

Handout

4: Levels and types of partnerships for improving health systems: involvement and engagement in UK CLAHRCs
Steven Ariss, UK

Handout

5D: Organized Sessions

Setting Priorities in Health Research – examples from the Canadian Institutes of Health Research (CIHR)
Diane Forbes, CIHR
Jennifer Campbell, CIHR
Zena Sharman, CIHR

Handout

10:00 - 10:15 AM

Break

10:15 - 11:30 AM

CLOSING PRESENTATION: GUIDANCE FOR PRIORITY SETTING IN HEALTH: GPS HEALTH

Ole Norheim, Professor, Department of Public Health and Primary Health Care, University of Bergen

Tan-Torres Edejer, Coordinator, Health Systems Financing, World Health Organization

Daniel Wikler, Mary B. Saltonstall Professor of Population Ethics and Professor of Ethics and Population Health, Department of Global Health and Population, Harvard School of Public Health

Handout 1

Handout 2

Handout 3

11:30 AM - 12:00 PM

SUMMATION AND CLOSING REMARKS
David Chinitz, President, International Society on Priorities in Health Care; The Hebrew University-Hadassah, Braun School of Public Health, Israel

Stuart Peacock, Co-Director, Canadian Centre for Applied Research in Cancer Control (ARCC) Associate Professor, School of Population and Public Health, University of British Columbia

Handout

Disinvestment in Healthcare

Health systems around the world are facing increasing economic pressure, and decision makers are seeking to enhance system efficiency and the value offered by health services and technologies. There is therefore increasing interest in approaches to optimise the use of practices and technologies currently in the health system, including by “disinvesting” from practices that offer little or no benefit.

Disinvestment presents many challenges: how to identify low value practices and how to realize cost savings, for example. This session provides an opportunity to learn from an emerging body of international knowledge and experiences to inform “disinvestment” and system efficiency in BC and across western Canada.

1:00 - 2:30 PM

Chair’s introduction:
Duncan Campbell, Chief Financial Officer and Vice President, Systems Development and Performance, Vancouver Coastal Health

Opportunities for health technology assessment (HTA) to promote optimization and disinvestment: international perspectives from the HTAi Policy Forum
Chris Henshall, University of York

Implementing disinvestment initiatives: setting priorities, overcoming barriers, and achieving success -
Adam Elshaug, University of Adelaide and Harvard Medical School

Disinvestment in western Canada: current initiatives, lessons from international examples, and opportunities for progress
Craig Mitton, Centre for Clinical Epidemiology and Evaluation and University of British Columbia