Dictionary
The Dictionary provides concise definitions of health economics terms, arranged alphabetically for quick reference. Use it to understand unfamiliar terminology or confirm the meaning of a specific term.
C
- Coinsurance RateConceptCoinsurance Percentage, Cost-Share Rate
- The specific percentage of a covered service's cost an insured person is responsible for paying under a coinsurance arrangement.
- CointerventionConceptCo-intervention
- A cointervention (co-intervention) is a treatment other than the one under study that trial participants receive; unequal use across arms can bias results.
- Collaborative CareConceptIntegrated Behavioural Care, Care Manager Model
- Collaborative care is a primary care model, mainly for depression, in which a care manager works with the patient's doctor and a mental health specialist.
- Collinearity DiagnosticsConceptVIF Analysis
- Collinearity diagnostics are regression checks, such as variance inflation factors, showing when predictors overlap too much to estimate separate effects.
- Colorectal Cancer ScreeningTermCRC Screening, Colonoscopy Screening
- A public health strategy using colonoscopy or stool-based testing to detect colorectal cancer or precancerous polyps in asymptomatic individuals.
- Combination PricingTermCombo Pricing, Regimen Pricing
- A pricing approach applied when two or more treatments are used together, requiring negotiation to establish a total price for the combined regimen.
- Combination TherapyTermCombination Treatment, Multi-Drug Therapy, Concurrent Therapy, Concomitant Therapy, Simultaneous Treatment
- A treatment approach using two or more distinct agents together, often to achieve a greater effect than either alone or address multiple mechanisms.
- Comfort CareTermSymptom-Focused Care, End-of-Life Symptom Relief, Comfort Measures Only, CMO, Symptom-Relief Care
- A treatment approach focused entirely on relieving symptoms and maximising quality of life, without pursuing curative or life-prolonging treatment.
- Commercial Access AgreementTermCommercial Arrangement, Payer Access Deal
- A negotiated arrangement between a manufacturer and payer establishing the price and conditions, sometimes outcomes-based, under which a treatment is made available.
- Common Cause VariationConceptRandom Variation, Inherent Variation
- Common cause variation is the routine variation a stable process produces from many small chance causes, predictable within limits from past data.
- Common ComparatorConceptShared Comparator, Common Reference Treatment
- A common comparator is a treatment, such as placebo or standard care, that two other treatments were each tested against, anchoring an indirect comparison.
- Common Cost AllocationConceptJoint Cost Allocation, Shared Cost Allocation
- Common cost allocation is the division of a cost shared by several health services, such as overheads or a joint input, among them by a chosen rule.
- Common Pool ResourcesConceptCommon-Pool Goods, Commons
- Common pool resources are goods where one user's use leaves less for others and excluding users is difficult or costly.
- Common Random NumbersConceptCRN, Correlated Sampling
- Common random numbers (CRN) is a simulation method that runs competing strategies on the same random draws, so their estimated difference is less noisy.
- Common Terminology CriteriaTermCTCAE, Adverse Event Grading
- A standardised grading system classifying the severity of adverse events observed in trials, widely used across oncology and other areas.
- CommunalityConceptCommon Variance, Shared Variance Proportion
- Communality is the proportion of an observed variable's variance explained by the common factors in a factor analysis, the complement of its uniqueness.
- Communication OpennessTermOpen Communication, Speaking Up Climate
- A patient safety culture dimension measuring how comfortable staff feel speaking up about safety concerns without fear of repercussion.
- Community BenefitTermCharitable Community Activity, Non-Profit Community Contribution
- The activities a non-profit hospital provides to improve community health, such as charity care and health education, typically required for tax-exempt status.
- Community CareTermCommunity-Based Care, Care in the Community
- Healthcare and support services delivered within a patient's local community setting rather than a hospital or institutional facility.
- Community Health CentreTermCHC, Federally Qualified Health Centre
- A federally supported facility providing comprehensive primary care to underserved populations regardless of ability to pay, often on a sliding fee scale.
- Community Health Needs AssessmentConceptCHNA, Community Needs Assessment
- Community health needs assessment (CHNA) is the three-yearly study of local health needs that US tax-exempt hospitals must publish to keep their exemption.
- Community HospitalTermDistrict Hospital, Local General Hospital
- A general, typically non-teaching hospital providing a broad range of medical and surgical services to its local population.
- Community Mental HealthTermCommunity Psychiatry, Community-Based Mental Health
- A mental health service delivery model providing care within a patient's local community rather than a centralised psychiatric institution.
- Community RatingConceptCommunity-Rated Premium, Uniform Premium Setting
- Community rating is a health insurance pricing rule that stops premiums varying with health or claims, allowing at most limited variation by age or area.
- Community-Based InsuranceConceptCommunity-Based Health Insurance, Mutual Health Insurance, Community Contribution, Community Health Fund, Community Pooling
- Community-based insurance is voluntary, not-for-profit health insurance run by a local community, whose members prepay small premiums into a shared fund.
- Community-Based ResearchConceptCBPR, Community-Engaged Research
- Community-based research is health research in which community members, organisations and researchers share every stage, from research questions to action.
- ComorbidityConceptCo-Morbidity, Coexisting Condition
- Comorbidity is any other condition a patient has alongside the index disease under study; in health economics it shifts costs, utilities and survival.
- Companion DiagnosticConceptCDx, Companion Test
- A companion diagnostic (CDx) is a test that identifies patients a specific drug is likely to help or harm, so the drug and test are assessed together.
- Companion Diagnostic DevelopmentTermCDx Development, Diagnostic Co-Development
- The process of developing a diagnostic test identifying patients likely to benefit from, or be harmed by, a specific corresponding therapeutic product.
- Comparability StudyConceptComparability Exercise, Biosimilarity Study
- A comparability study is a stepwise comparison showing a biologic is highly similar to its pre-change version or, for a biosimilar, its reference product.
- Comparative Billing ReportTermCBR, Billing Benchmark Report
- A report comparing a provider's billing patterns against peer benchmarks, identifying potential outliers warranting review for appropriateness or compliance.
- Comparative Effectiveness ResearchConceptCER, Comparative Effectiveness
- Comparative effectiveness research (CER) compares the benefits and harms of different health care options in routine care to show what works best for whom.
- Comparative Effectiveness StudyTermCE Study, Head-to-Head Study
- A research study directly comparing the real-world benefits and harms of two or more alternative interventions for a clinical condition.
- Comparative EvidenceTermRelative-Effect Evidence, Comparative Effect Data, Comparative Effectiveness Evidence, CE Evidence, Head-to-Head Evidence
- Data comparing the relative effects of two or more interventions, whether from a direct head-to-head trial or indirect network meta-analysis.
- ComparatorConceptControl Intervention, Reference Arm
- A comparator is the alternative, such as current practice or another treatment, against which a new health intervention is compared in economic evaluation.
- Comparator SelectionConceptComparator Choice, Choice of Comparator
- Comparator selection is the HTA step that decides which existing treatments a new technology is compared with, usually current care or what it replaces.
- Compartmental ModelConceptCompartment Model, SIR-Type Model
- A compartmental model splits a population into compartments, such as susceptible, infectious and recovered, and uses equations for the flows between them.
- Compassionate UseConceptInvestigational Access, Emergency Treatment Access
- Compassionate use is the supply of an unauthorised medicine, outside a trial, to patients with a serious disease and no satisfactory authorised treatment.
- Compensating VariationConceptCV
- Compensating variation (CV) is the sum that restores original utility after a health or policy change: willingness to pay for a gain or to accept a loss.
- CompetenceConceptLegal Decision Authority, Decisional Standing
- Competence is a person's legal authority to make their own decisions, such as consenting to treatment, as distinct from clinical assessment of capacity.
- Competing EventsTermCompeting Event
- A situation in a simulation model where several distinct events could occur next for an entity, requiring the model to determine which happens first.
- Competing RisksConceptCompeting-Risk Events, Multiple-Event Risk
- Competing risks are events that each end a patient's time at risk, such as cardiovascular and other-cause death, so the first to occur rules out the rest.
- Competition TheoryConceptTheory of Competition, Competitive Markets Theory
- Competition theory explains how rivalry between firms and market structure shape prices and quality, including in hospital and health insurance markets.
- Competition-Based PricingConceptCompetitive Pricing, Market-Based Pricing
- Competition-based pricing sets a medicine's price from the prices of rival treatments for the same condition, not from its own cost or added health value.
- ComplaintTermGrievance, Dissatisfaction Report
- A formal expression of dissatisfaction submitted by an insured individual regarding their health plan, such as a disputed claim denial.
- Complaint RateTermComplaint Frequency, Complaint Volume, Grievance Rate, Grievance Frequency, Formal Complaint Frequency
- A measure of how frequently patients or families formally express dissatisfaction with the care or service received within an organisation.
- Complete Molecular ResponseTermCMR, Molecular Remission
- A response criterion in some blood cancers indicating molecular testing can no longer detect any trace of the disease-associated genetic marker.
- Complete RemissionTermFull Remission, Disease Clearance
- A cancer treatment outcome in which all detectable signs of disease have disappeared, though undetectable cells may still remain.
- Complete ResponseTermCR, Full Response
- A standardised tumour response classification indicating the complete disappearance of all target and non-target tumour lesions following treatment.
- Completer AnalysisTermCompleters-Only Analysis, Full-Completion Analysis
- A missing data method including only participants who completed the entire study with no missing outcome data, excluding all others.
