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Lecture to the Health Economics module of the Diploma of Clinical Research Coordinators by Omar Hasan Kasule Sr Professor of Epidemiology and Bioethics August 16, 2020
DEFINITION OF CUA
• CUA was introduced to solve the problem of measuring benefits encountered in CBA
• CUA values the benefits of health services in terms of utility.
• The most commonly used measure of utility is the number of years of life gained due to the health intervention.
MEASURES OF YEARS OF HEALTH USED IN CUA
• Years of Potential Life Lost (YPLL)
• Healthy Years Equivalent (HYE).
MEASURES OF LIFE QUALITY
• Years of healthy life (YHL)
• Quality-adjusted life years (QALY),
• Disability-adjusted life years (DALY).
USES OF CUA
• Cost-utility analysis enables making a decision which of 2 or more interventions is better per cost unit when the outcome measure reflects the values and preferences of society.
• Since CUA is based on consumer preferences, it is of limited application due to its many value-laden assumptions.