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Markov model
Pharmacoeconomics
Nouran Hamza, B Pharm, MSc
Freelance biostatistician
What is a Markov Model?
Mathematicalmodelingtechnique,derivedfrommatrixalgebra,thatdescribesthetransitionsacohortofpatientsmakeamonganumberof
mutuallyexclusiveandexhaustivehealthstate duringaseriesofshortintervalsorcycles
Properties of a Markov Model
• Patientisalwaysinoneofafinitenumberofhealthstates
• Eventsaremodeledastransitionsfromonestatetoanother
• Contributionofutilitytooverallprognosisdependsonlengthoftimespentinhealthstates
• Duringeachcycle,thepatientmaymakeatransitionfromonestatetoanother
Example
Please note that in Markov model we use the probability ( convert
rates or percent to probability
Markov model
Transition Probability
Matrix
Markov model
Markov model
Markov model
Markov model
Please note that all the previous
numbers are in probability terms
if the problem state a number of
population , or a specific cost, do all
the pervious steps + multiplying by
the stated population or cost
Construct a Markov model for a cohort
of 5000 subject using the following
Markov model

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Markov model

  • 1. Markov model Pharmacoeconomics Nouran Hamza, B Pharm, MSc Freelance biostatistician
  • 2. What is a Markov Model? Mathematicalmodelingtechnique,derivedfrommatrixalgebra,thatdescribesthetransitionsacohortofpatientsmakeamonganumberof mutuallyexclusiveandexhaustivehealthstate duringaseriesofshortintervalsorcycles
  • 3. Properties of a Markov Model • Patientisalwaysinoneofafinitenumberofhealthstates • Eventsaremodeledastransitionsfromonestatetoanother • Contributionofutilitytooverallprognosisdependsonlengthoftimespentinhealthstates • Duringeachcycle,thepatientmaymakeatransitionfromonestatetoanother
  • 4. Example Please note that in Markov model we use the probability ( convert rates or percent to probability
  • 11. Please note that all the previous numbers are in probability terms if the problem state a number of population , or a specific cost, do all the pervious steps + multiplying by the stated population or cost
  • 12. Construct a Markov model for a cohort of 5000 subject using the following