MyMedR

Estimation of an Instrument-Defined Minimally Important Difference in EQ-5D-5L Index Scores Based on Scoring Algorithms Derived Using the EQ-VT Version 2 Valuation Protocols

Henry EB, Barry LE, Hobbins AP, McClure NS, O'Neill C

Value Health, 2020 07;23(7):936-944.

PMID: 32762996 DOI: 10.1016/j.jval.2020.03.003

OBJECTIVES: To estimate and compare the minimally important difference (MID) in index score of country-specific EQ-5D-5L scoring algorithms developed using EuroQol Valuation Technology protocol version 2, including algorithms from Germany, Indonesia, Ireland, Malaysia, Poland, Portugal, Taiwan, and the United States.

METHODS: A simulation-based approach contingent on all single-level transitions defined by the EQ-5D-5L descriptive system was used to estimate the MID for each algorithm.

RESULTS: The resulting mean (and standard deviation) instrument-defined MID estimates were Germany, 0.083 (0.022); Indonesia, 0.093 (0.012); Ireland, 0.098 (0.023); Malaysia, 0.072 (0.010); Poland, 0.080 (0.030); Portugal, 0.080 (0.018); Taiwan, 0.101 (0.010); and the United States, 0.078 (0.014).

CONCLUSIONS: These population preference-based MID estimates and accompanying evidence of how such values vary as a function of baseline index score can be used to aid interpretation of index score change. The marked consistency in the relationship between the calculated MID estimate and the range of the EQ-5D-5L index score, represented by a ratio of 1:20, might substantiate a rule of thumb allowing for MID approximation in EQ-5D-5L index score warranting further investigation.

Fulltext Effect of Health Education Program on Knowledge, Attitude, Practice and Health Related Quality of Life in Hepatitis-B Patients

Haq N, Hassali MA, Shafie AA, Saleem F, Farooqui M, Iqbal Q

Value Health, 2014 Nov;17(7):A807.

PMID: 27203043 DOI: 10.1016/j.jval.2014.08.529

Fulltext The Use of Integrated Concept Mapping to Develop the Dementia Care Model by Community Participation

Hanrinth R, Sooksai N, Rangseekajee P, Namtatsanee S, Wisedsorn C, Tangiisuran B

Value Health, 2014 Nov;17(7):A771.

PMID: 27202839 DOI: 10.1016/j.jval.2014.08.315

Fulltext Knowledge and perception of medical and pharmacy students toward the usage of sunblock [Abstract]

Hadi H, Elkalmi R, Awadh A, Jamshed S, Al-Shami A

Value Health, 2014 Nov;17(7):A605.

PMID: 27202095 DOI: 10.1016/j.jval.2014.08.2105

Objectives: To evaluate the knowledge and perception of medical and pharmacy students toward the usage of sunblock as skin protection against ultraviolet (UV).
Methods: This cross-sectional study was conducted among the undergraduate final year medical and pharmacy students at the International Islamic University Malaysia (IIUM). Validated questionnaire were used to collect the data. The questionnaires were distributed to 134 students from medicine and 100 pharmacy students. Descriptive and inferential statistics are used whenever appropriate.
Results: Overall, 161 participants out of a total of 234 completed the questionnaire with 101 medical students (75.4%) and 60 pharmacy students (60.0%). Majority of the respondents were female 64 (63.4%) and 37 (36.6%) were male. The median of knowledge scores of the final year medical students was significantly lower than the final year pharmacy students (p<0.01). There is no significant differnce between the knowledge of the female and male students (Mann Whitney U Test value = 0.27, p<0.01). This study reported that 24 (39.3 %) of pharmacy students were influenced by the media to use sunblock whereas 35 (34.7%) of medical students had the highest influence from friends to use sunblock. However, this study showed there was no significant difference in the perception of pharmacy and medical students p=0.020.
Conclusion: In conclusion, the knowledge of pharmacy students is significantly higher than the knowledge of medical students had on the usage of sunblock. Both medical and pharmacy students have the same level of perception towards the usage of sunblock.

Fulltext A qualitative exploration of Malaysian doctors' perceptions towards complementary and alternative medicines (CAM) [Abstract]

Farooqui M, Othman CN, Hassali AA, Saleem F, Ul Haq N, Sadeeqa S

Value Health, 2014 Nov;17(7):A789.

PMID: 27202944 DOI: 10.1016/j.jval.2014.08.425

Objectives: The study aims to assess doctors’ perceptions towards Complementary and Alternative Medicines (CAM) in their medical practice, factors that affect the referral of CAM and suggestions to improve CAM in medical practice.
Methods: A qualitative research approach was adopted to gain a better understanding of the current perceptions and practice held by doctors’ within their medical professions. In order to gain a wide perspective of the issue, eleven doctors were purposively selected who were working in academics, hospitals and in the community health clinics. Participants were interviewed using a semi-structured interview guide. A saturation point was reached after the 10th interview, and no new information emerged with the subsequent interviews. All interviews were transcribed verbatim and analyzed by means of a standard content analysis framework.
Results: The doctors expressed a range of views on CAM that can be divided into two major themes: doctors’ knowledge and understanding towards CAM and doctors’ viewpoint on CAM in their professional practice. A key factor which affected doctor’s perspectives on CAM was the lack of scientific evidences. The attitudes on CAM were basically shaped based on their personal CAM use rather than knowledge gained during an academic course. Lack of knowledge on CAM was also attributing to the doctors’ reluctance in CAM discussion with their patients. Though addition of CAM courses into the medical curriculum was proposed by some of the doctors; the practical implication was criticized as some found medical curriculum heavily packed with the biomedical courses.
Conclusions: Majority of the doctors in this study were skeptical and uncertain about CAM due to lack of scientific evidence. Doctor-patient communication on CAM can only be improved when doctors’ knowledge on CAM can be improved by providing necessary training on CAM.

Fulltext Comparability of Interview and Self-Administration of the Functional Assessment of Chronic Illness Therapy-Tuberculosis (Facit-Tb) Instrument in Iraqi Pulmonary Tuberculosis Patients

Dujaili JA, Syed SS, Hassali MA, Blebil AQ, Awaisu A, Bredle JM

Value Health, 2014 Nov;17(7):A573.

PMID: 27201920 DOI: 10.1016/j.jval.2014.08.1920

Challenges of Health Technology Assessment in Pluralistic Healthcare Systems: An ISPOR Council Report

Drummond MF, Augustovski F, Bhattacharyya D, Campbell J, Chaiyakanapruk N, Chen Y, et al.

Value Health, 2022 Aug;25(8):1257-1267.

PMID: 35931428 DOI: 10.1016/j.jval.2022.02.006

Health technology assessment (HTA) has been growing in use over the past 40 years, especially in its impact on decisions regarding the reimbursement, adoption, and use of new drugs, devices, and procedures. In countries or jurisdictions with "pluralistic" healthcare systems, there are multiple payers or sectors, each of which could potentially benefit from HTA. Nevertheless, a single HTA, conducted centrally, may not meet the needs of these different actors, who may have different budgets, current standards of care, populations to serve, or decision-making processes. This article reports on the research conducted by an ISPOR Health Technology Assessment Council Working Group established to examine the specific challenges of conducting and using HTA in countries with pluralistic healthcare systems. The Group used its own knowledge and expertise, supplemented by a narrative literature review and survey of US payers, to identify existing challenges and any initiatives taken to address them. We recommend that countries with pluralistic healthcare systems establish a national focus for HTA, develop a uniform set of HTA methods guidelines, ensure that HTAs are produced in a timely fashion, facilitate the use of HTA in the local setting, and develop a framework to encourage transparency in HTA. These efforts can be enhanced by the development of good practice guidance from ISPOR or similar groups and increased training to facilitate local use of HTA.

Corrigendum to "Challenges of Health Technology Assessment in Pluralistic Healthcare Systems: An ISPOR Council Report": [Value in Health 25 (2022) 1257-1267/3488]

Drummond MF, Augustovski F, Bhattacharyya D, Campbell J, Chaiyakunapruk N, Chen Y, et al.

Value Health, 2023 Jul 11.

PMID: 37436332 DOI: 10.1016/j.jval.2023.06.010

Fulltext Comparison of health care utilization and costs for patietns with asthma by severity and health insurance in Thailand: using generalized linear regression model. [Abstract]

Dilokthornsakul P, Lee TA, Dhippayom T, Jeanpeerapong N, Chaiyakunapruk N

Value Health, 2014 Nov;17(7):A778.

PMID: 27202883 DOI: 10.1016/j.jval.2014.08.360

Fulltext Cea of Introducing Rotavirus Vaccine in Libya

Dahlui M, Alkoshi S, Maimaiti N, Baudouin S

Value Health, 2014 Nov;17(7):A679.

PMID: 27202505 DOI: 10.1016/j.jval.2014.08.2530

Fulltext Understanding the Rationale for Responses to a Time-Trade-Off Assessment and Willingness-To-Pay in Lung Cancer in Thailand

Crawford B, Permsuwan U, Thongprasert S, Sakulbumrungsil R, Chaiyakunapruk N, Leartsakulpanitch J, et al.

Value Health, 2014 Nov;17(7):A738.

PMID: 27202652 DOI: 10.1016/j.jval.2014.08.121

Fulltext Medication counseling beyond instituitional: impact of pharmacist-led home medication review in type 2 diabetes patients [Abstract]

Chow EP, Hassali A

Value Health, 2014 Nov;17(7):A746.

PMID: 27202698 DOI: 10.1016/j.jval.2014.08.171

Objectives
To evaluate the impact of home medication review programme (HMR) towards Type 2 Diabetes patients from public primary centre in Penang, Malaysia.

Methods
A prospective randomised control study was conducted at Primary Clinic in Bukit Minyak, Penang. Eligible Type 2 diabetes patients with HbA1c > 6.5% and taking ≥ 3 medications who stayed at their own house were recruited and randomly allocated into control and intervention group by coin tossing. Control group patients received usual care from the clinic whereas intervention group patients received additional 2 visits at their home by pharmacist. During both visits, education on quality use of medications and life-style modifications were performed.Blood pressure monitoring, point of care for sugar and total cholesterol levels were conducted in each visit. Patients adherence and knowledge were assessed using validated questionnaire. Pill count was conducted and excessive medications were collected to calculate the costing component. Primary outcomes were medication adherence and level of knowledge. Secondary outcomes included HbA1c, FBS and total cholesterol changes as well as patients’ satisfactions towards HMR and direct cost saving from the programme.

Results
A total of 150 patients were recruited and randomly assigned in two groups (n=75 each group). Fifty patients in the intervention group completed the study. After 2 home visits there were significant improvements in the adherence score for the intervention group (mean score=6.90,SD=0.94) compared to the control group (mean score=4.05, SD=1.51). There was a significant improvement in knowledge score after HMR programme, intervention group (mean score=10.04, SD=1.75) and the control group (mean score=5.45, SD=1.89). A direct cost analysis of the medication wasted reveals that HMR can help to save RM 2805.50 (USD 855.34) throughout the eight months period.

Conclusions
Pharmacist-led HMR have improved patients’ adherence and knowledge as well as helping the policy makers to save money on excessive medication wastage.

Assessment Of Pharmacist-Led Home-Based Educational Intervention Among Type 2 Diabetes Patients In The State of Penang, Malaysia

Chow EP, Hassali MA, Saleem F, Kumar R

Value Health, 2015 Nov;18(7):A866.

PMID: 26534635 DOI: 10.1016/j.jval.2015.09.519

Fulltext How Likely Warfarin Pharmacogenetic Test to be Cost-Effective in Thailand: A Threshold Analysis

Chong HY, Saokaew S, Dumrongprat K, Permsuwan U, Sritara P, Chaiyakunapruk N

Value Health, 2014 Nov;17(7):A760.

PMID: 27202779 DOI: 10.1016/j.jval.2014.08.254

Fulltext Prevalence and Predictors of Clinically Undiagnosed Cognitive Impairment Among Older Residents of Nursing Homes in Association with HRQOL

Chen LL, Ch'ng SH, Shafie AA, Hasali MA, Tagiisuran B

Value Health, 2014 Nov;17(7):A770.

PMID: 27202837 DOI: 10.1016/j.jval.2014.08.310