WORK PACKAGE 3
Developing a costing methodology and a database of unit costs
Objectives
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To develop a costing methodology and methodological recommendations for computing homogeneous unit costs across EU countries, that in the long-term, can evolve into a common European costing methodology for economic evaluation.
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To generate a minimum common dataset of health care costs (i.e. health-care services and goods/products) for EU countries
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Methodology
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Cost concepts will be clearly defined in order to ensure inter-country comparability.
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A costing methodology will be developed based on a literature review, the adaptation and synthesis of existing methodologies and a posterior process of discussion and consensus
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A search of existing health cost databases and sources of data will be carried out.
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Appropriate data sources will be identified and costs will be collected and integrated in a common EU direct cost database for economic evaluation of health interventions. The selection of data will be made by validating and adjusting existing available data with the agreed costing methodology.
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Outputs​
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Deliverable D3.1: Guidelines for cost definitions and harmonization of cost accounting methodologies for economic evaluation [PDF]
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Deliverable D3.2: Database (final version) with the initial core dataset of costs and the User Manual; Final version of the Guidelines; List of standard unit costs with country values [PDF]
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User Manual [PDF]
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List of standard unit costs [XLSX]
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Work Package Overall Results – Poster [PDF]
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European Healthcare and Social Cost Database (EU HCCD)
The EU HCCD provides a core dataset of costs across countries. It allows analysis of variations in costs within/across countries (taking into account differences between healthcare systems and other factors) and health economic evaluations (by transfer of economic evaluation analysis and models across countries). Additionally, it facilitates multi-country studies and the adaptation of economic evaluation studies from country to country by reducing the time/costs of finding healthcare costs.
Access the database HERE.
Publications
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Špacírová Z, Epstein D, García-Mochón L et al. (2020) A general framework for classifying costing methods for economic evaluation of health care. European Journal of Health Economics 21, 529–542 [https://doi.org/10.1007/s10198-019-01157-9]
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Adjusting costs for inflation in economic evaluations of healthcare – Poster [PDF]
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García-Mochón L, Špacírová Z, Espín J (2021) Costing methodologies in European economic evaluation guidelines: commonalities and divergences. European Journal of Health Economics. doi: 10.1007/s10198-021-01414-w
Lead
Escuela Andaluza de Salud Publica SA
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Research team
Juan Rovira
Zuzanna Spacirova
Leticia García Mochón
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