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Conference: Economic evaluation of innovative health interventions


Wednesday 6 Dec 2017
From 5PM To 7PM

Event organized in collaboration with



Experts views on arbitration between health and costs


The existence of constraints on budgetary resources has led public authorities to rely upon specific tools to optimize the set of treatment and health services available to any insured individuals. To meet this objective of efficient management under this budget constraint, it is required to consider the cost along with the expected benefits of any new investment. The economic evaluation of new health interventions comparing the effectiveness and cost of innovative interventions with conventional interventions is key to comply with the aim of an efficient allocation of resources. In particular, the concept of QALY, which jointly measures the gained life years and the quality of life of those additional life years has become the preferred tool for the comparison between new treatments across different pathologies. The use of QALYs leads the researcher to undertake a cost-utility analysis.

This panel brought together two experts in health economics, who will discuss the issues and challenges associated with cost-utility studies in health by illustrating them from British, French and Quebec studies.

Roxane Borgès Da Silva

A CIRANO Researcher and Fellow since 2015, Vice-President Research Funding, responsible of the CIRANO Pole on the Efficiency of Health Services and Policies and Main Researcher of the theme Demography and Health, Roxane Borgès Da Silva is Associate Professor in the Department of Management, Evaluation and Health Policy at the École de santé publique de l'Université de Montréal.

Holding a Ph.D. in Health Administration from the Université de Montréal, her research interests focus on the analysis and evaluation of health service organization and the development of performance and quality indicators. She is particularly interested in the evolution of the organization of front-line services and its effects on the use of population health services. She is also interested in the effects of health policies related to the organization of health services, professional practices and collaborations.

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Nathalie de Marcellis-Warin

A CIRANO Researcher and Fellow since 2003, Nathalie de Marcellis-Warin has been President and Chief Executive Officer of CIRANO since 2016, has been leading the Baromètre CIRANO project on risk perception in Quebec, which annually collects data on Quebecers' concerns on 47 social issues since 2011, is responsible of the CIRANO Pole on the Socio-economic Impacts of Digital Intelligence and Main Researcher of the theme Innovation and Digital Transformation. Nathalie de Marcellis-Warin is Full Professor in the Department of Mathematics and Industrial Engineering at Polytechnique Montréal. She is also a Visiting Scientist at Harvard T. Chan School of Public Health and an associate researcher at the Institute for Data Valorization (IVADO).

Holding a Ph.D. in Management Science (in risks and insurance management) from École normale supérieure de Cachan, her research interests focus on risk management and decision-making in different risks and uncertainty contexts as well as public policies. Her research combines economic analysis, cost-benefit analysis, survey data analysis, and more recently massive unstructured data analysis.

In 2008 she created the RISQH network to raise awareness and share experiences on risks management, and patient safety and quality of care in health care facilities.

She participated in the creation of the Montreal Declaration for a Responsible Development of AI.

She is also co-PI of the "Monitoring and Surveys" function at the International Observatory on the Societal Impacts of AI and Digital Technology.

She has published numerous scientific articles, several books and more than 30 reports for government and other organizations. She has given more than a hundred conferences and is regularly solicited to speak in the media.

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Thomas G. Poder

A CIRANO Researcher since 2019, Thomas G. Poder is Assistant Professor in the Department of Health Management, Evaluation and Policy at the École de santé publique de l'Université de Montréal, a regular researcher at the Research Centre of the Institut universitaire de santé mentale de Montréal, and co-responsible for the Ecohealth group of the Quebec SRAP Support Unit.

Holding a Ph.D. in Economics from Clermont Auvergne University, his research interests are focused on measuring quality-adjusted life years (QALYs). He also specializes in Health Technology Assessment (HTA) and Health Preference Research (HPR). 

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Sandy Tubeuf

Sandy Tubeuf is Associate Professor in the Academic Unit of Health Economics at the University of Leeds.

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17:00 - 17:10
Welcome and Introduction
17:10 - 17:15
Presentation of the speakers
17:15 - 17:30
Threshold of cost-effectiveness of health technologies: the case of the English NICE
Sandy Tubeuf
17:30 - 17:45
The cost per QALY ratio: criteria like any other?
17:45 - 18:05
Discussion and questions
18:05 - 18:15
Closing remarks
18:15 - 19:00


1130 Rue Sherbrooke Ouest, Montréal, QC H3A 2M8, Canada