Dear All,
I hope the start of 2024 is going well.
This is the time of the year when we share details of the next LHEG meeting. The Health Economics and Policy Research Unit at QMUL has kindly agreed to host the event on the 29th February, 5-7pm. We are very grateful to our two speakers, Runguo Wu and Nilesh Raut who will be presenting two very interesting pieces of work. Details of their talks are as follows:
- Dr Runguo Wu (Queen Mary University of London)
Title: Use of individual participant data in model development for assessment of cost effectiveness and health inequalities
We illustrate an approach to developing a micro-simulation CVD model using historic clinical trials individual participant data (the Cholesterol Treatment Trialists’ collaboration or CTT: 118,000 participants) and calibrating the model into a contemporary UK cohort (UK Biobank: 502,000 participants). Firstly, we estimated parametric survival equations for key endpoints (myocardial infarction, stroke, coronary revascularisation, incident cancer and vascular and nonvascular death) using CTT individual participants’ sociodemographic, including quintile of socioeconomic deprivation, and clinical characteristics at entry and incidents of the key endpoints during follow-up. We calibrated the model using individual characteristics at entry and follow-up data from the UK Biobank participants, involving re-fitting the intercept and linear predictors from these equations; and adding factors and endpoint/s to enrich the model. We validated the model internally in CTT and UK Biobank, and externally in the further Whitehall II cohort. We used the calibrated CVD model to evaluate cost-effectiveness of preventive statin treatment across categories of the UK population and, following a standardisation to UK general population, the effect of the guideline recommended statin treatment on health inequalities.
- Dr Nilesh Raut (LSE)
Title: Transmission of Caregiving Across Generations
We examine the extent to which exposure to increased informal caregiving exerts effects on the supply of informal care across generations. We exploit a sharp reduction in the public financing of Medicare home health care in the United States, to investigate whether parental supply of adult care, subsequently exerted role model effects by increasing the children’s supply of adult care a few decades later. We use data from the Health and Retirement Survey and exploit the exogenous variation in the supply of care brought about by a large decline in financing of Medicare Home health care between 1997 and 2000 with the Interim Payment System (IPS), which lead to a more pronounced reduction in the provision of Medicare home health care in some states relative to other control states. We find strong evidence supporting the presence of transmission of caregiving across generations, which is heterogeneous across groups, namely the effect is stronger among single, poor, and less educated individuals.
Please register here if you wish to attend: https://cityunilondon.eu.qualtrics.com/jfe/form/SV_7PcSafMQN2Z6spU
Location: the talks will be at the Wolfson Institute of Preventative Medicine - Room 1.29 -1.30, Charterhouse Square, London, EC1M 6BQ. Closest tube stations: Barbican and Farringdon. Please find more information on how to get to the venue here: https://www.qmul.ac.uk/about/howtofindus/charterhouse/
After the talks finish at 7pm there will be some informal drinks.
Please save the date and we hope you can join us on the 29th,
All the best,
Victoria and the CHEC team
Department of Economics |City, University of London
CHEC: https://researchcentres.city.ac.uk/health-economics#unit=people
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