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.
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- Theil Index HealthConceptHealth Theil Index, Theil Inequality Measure
- An information theory based inequality measure applied to a health outcome's distribution, decomposable into inequality within and between population subgroups.
- Theory Of ConstraintsTermTOC, Constraints Management
- A management philosophy identifying the single most limiting factor preventing greater throughput toward a goal, and focusing improvement there first.
- Therapeutic AreaTermTreatment Area, Indication Area, Clinical Area, Clinical Field, Medical Speciality Area, Disease Area, Condition Category, Assessment Area
- A defined category of medical conditions or treatments, such as oncology, used to organise research, development, and assessment activities.
- Therapeutic ClaimTermClinical Claim, Therapeutic Conclusion
- Therapeutic claim, in a PBAC submission, classes a medicine as superior, non-inferior or inferior to its main comparator and sets the economic evaluation.
- Therapeutic ClassTermDrug Class, Medication Class
- A grouping of medications sharing a similar mechanism of action or used to treat the same condition, such as statins or beta-blockers.
- Therapeutic CompetitionTermWithin-Class Competition, Treatment Competition
- The competitive pressure exerted on a drug's pricing and market position by other treatments available for the same condition.
- Therapeutic GoalTermTreatment Objective, Therapy Target, Treatment Goal
- The specific clinical outcome a treatment strategy is intended to achieve, such as cure, symptom control, stabilisation, or preventing complications.
- Therapeutic IndexTermTherapeutic Ratio, Safety Margin Index
- A drug's safety margin, calculated as the ratio between the dose that produces toxicity and the dose producing the desired effect.
- Therapeutic InterchangeTermTherapeutic Swap, Protocol Substitution
- Substituting a different medication within the same class for a prescribed drug, based on protocols indicating therapeutic equivalence, typically with physician notification.
- Therapeutic MisconceptionTermTrial Misconception, Research Misconception
- A phenomenon where a trial participant mistakenly believes their participation is meant to provide personalised treatment rather than generate scientific knowledge.
- Therapeutic PrivilegeTermTherapeutic Exception, Physician Withholding
- A limited, ethically contested exception to consent requirements in which a physician withholds information judged likely to cause significant psychological harm.
- Therapeutic Reference PricingTermTherapeutic Class Reference Pricing, Class-Based Reference Pricing
- A policy grouping drugs believed to produce similar therapeutic effects and setting one reference reimbursement level, encouraging use of the most cost-effective option.
- Therapeutic ValueTermClinical Worth, Treatment Value
- The clinical benefit a treatment provides for a condition, a core consideration within assessment frameworks that formally rate treatment benefit.
- Third Party PerspectiveTermReimburser Viewpoint, Third-Payer Viewpoint
- An analytic viewpoint including only costs and outcomes relevant to a third-party payer, such as an insurer, excluding costs borne directly by patients.
- Third-Line TherapyTermThird-Line Treatment, Third-Line Regimen
- A treatment used after both first-line and second-line treatments have failed to achieve adequate disease control or been discontinued.
- Third-Party AdministratorTermTPA, Benefits Administrator
- An organisation providing administrative services, such as claims processing, for a self-insured employer's plan, without bearing the claims' financial risk.
- Third-Party PayerTermThird-Party Reimburser, Insurer-Payer
- An entity, other than the patient or provider, that finances healthcare costs on behalf of a covered individual, such as an insurer.
- Three-State ModelTermThree-Compartment Model, 3-State Markov Model
- A simplified Markov structure with exactly three health states, commonly well, diseased, and death, used when a fuller structure is unnecessary.
- Threshold AnalysisConceptThreshold Analysis Method, Switching-Value Analysis
- A sensitivity analysis technique identifying the value at which an input parameter would need to be set for a model's conclusion to change.
- Threshold ApproachTermThreshold Decision Rule, Cost-Effectiveness Cut-Off Rule
- A decision-making method that classifies an intervention as cost-effective or not based on whether its ICER falls below a predetermined threshold.
- Threshold PriceConceptBreak-Even Price, Maximum Justifiable Price
- Threshold Price is the highest price at which a health technology stays cost-effective: the price where its ICER equals the cost-effectiveness threshold.
- ThroughputConceptOutput Rate, Processing Volume
- Throughput is the number of defined service units completed across a specified process boundary per unit of time.
- Throughput EfficiencyTermFlow Efficiency, Processing Efficiency
- A measure of how effectively a process moves patients through their care journey relative to the time and resources consumed.
- Tiered AlertTermGraded Alert, Severity-Graded Alert
- A computerised clinical alert system categorising notifications by severity, presenting more urgent alerts more prominently than lower-priority ones.
- Tiered CareTermGraduated Care Tiers, Layered Care
- A delivery model organising services into distinct levels of intensity, matching patients to the tier appropriate for their current clinical needs.
- Tiered NetworkTermTiered Provider Network, Layered Network
- A plan design categorising in-network providers into tiers by cost or quality, with lower cost-sharing for preferred-tier providers.
- Tiered PricingTermPrice Tiering, Graduated Pricing
- A pricing strategy charging different prices for the same product across markets, typically calibrated to differences in ability to pay.
- Time DependencyConceptTime-Dependence, Temporal Dependence
- The property of a risk, effect, cost, utility or other model input changing according to a specified time scale, such as attained age or time since an event.
- Time HorizonConceptAnalytic Horizon, Evaluation Period, Horizon Choice, Analytic Horizon Decision
- The span of time over which an economic evaluation captures relevant differences in costs and outcomes among the options being compared.
- Time Horizon Selection HTATermHTA Time Horizon, Lifetime Horizon Selection
- The methodological decision on how long a cost-effectiveness analysis should simulate costs and outcomes, often requiring a full lifetime horizon for chronic conditions.
- Time on TreatmentTermToT, Duration on Therapy
- The duration a patient continues receiving a specific therapy before discontinuation, whether from progression, intolerable effects, or achieving the treatment goal.
- Time PreferenceConceptTemporal Discounting, Impatience Parameter
- Time preference is the preference for benefits sooner and costs later; in health economics it is one reason future costs and QALYs are discounted.
- Time Series DataTermTemporal Data, Time-Ordered Data
- Data consisting of repeated measurements of the same variable collected sequentially over time, such as monthly disease incidence rates.
- Time Series DesignTermTime Series Study, Serial Measurement Design, Time Series
- A study design examining a sequence of observations on one population collected repeatedly over time, often to assess a policy's impact before and after.
- Time StructureTermTemporal Structure, Model Timing Framework, Horizon Structure, Model Time Design, Cycle-Horizon Layout, Cycle Structure, Model Cycle Organisation, Temporal Model Structure
- The way a model represents the passage of time, whether in fixed discrete cycles, as in a Markov model, or continuously.
- Time to MarketTermSpeed to Market, Launch Timeline
- The total elapsed time from a drug candidate's discovery to regulatory approval and market availability, often spanning a decade or more.
- Time to ResponseTermResponse Time, Time until Response
- The interval between the start of treatment and the point a patient meets a defined responder threshold on a relevant outcome measure.
- Time Trade-OffConceptTTO, Life-Year Trade-Off
- A health state valuation method asking how many years in full health a respondent would consider equal to a longer period in an impaired state.
- Time Value of MoneyConceptTVM, Present Value Principle
- The principle that a given sum of money is worth more today than the same sum received in the future.
- Time with SymptomsTermSymptomatic Time, Time in Symptomatic State
- A phase within the Q-TWiST framework representing the period during which a patient experiences symptoms of disease progression or treatment toxicity.
- Time Without Symptoms of ProgressionConceptTWiST, Symptom-Free Progression-Free Time
- A phase within the Q-TWiST framework covering the period free of significant treatment toxicity or disease progression symptoms, typically weighted highest.
- Time-Driven Activity-Based CostingConceptTDABC, Time-Driven ABC
- A costing method estimating a service's cost by multiplying the capacity cost rate of resources involved by the time required to complete each activity.
- Time-Fixed CovariateTermBaseline Covariate, Time-Invariant Covariate
- A patient characteristic in a survival model measured once and assumed constant throughout follow-up, such as baseline age or sex.
- Time-Homogeneous ModelConceptTime-Constant Model, Stationary Markov Model
- A Markov model in which transition probabilities remain constant throughout the entire modelled time horizon, regardless of how many cycles have passed.
- Time-Inhomogeneous ModelConceptTime-Varying Markov Model, Non-Stationary Model
- A Markov model in which transition probabilities are allowed to vary over the time horizon, such as mortality risk rising with age.
- Time-Lag BiasConcept
- Time-lag bias is distortion of the evidence available at a given time because studies with favourable or significant results are published sooner.
- Time-to-EventConceptEvent-Time Outcome, Event-History Outcome
- Outcome data recording the duration until a specific event of interest occurs, such as disease progression or death, possibly censored.
- Time-Varying CovariateConceptTime-Dependent Covariate, Updating Covariate
- A patient characteristic in a survival model allowed to change value over follow-up, such as a repeatedly measured biomarker.
- Time-Varying HazardConceptTime-Dependent Hazard, Non-Constant Hazard
- A hazard rate that changes in magnitude over follow-up, unlike a constant hazard that stays the same at every point.
