Empirical standard costs for health economic evaluation in Germany - a proposal by the working group methods in health economic evaluation
Empirical standard costs for health economic evaluation in Germany - a proposal by the working group methods in health economic evaluation
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DOI：
10.1055/s-2005-858698
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发表时间：
2005-10-01
期刊：
影响因子：
1.1
通讯作者：
Schweikert, B
中科院分区：
文献类型：
--
作者：
Krauth, C;Hessel, F;Schweikert, B
卫生保健成本的计量是卫生经济评价的一项重要任务。对于经济评价中的成本计算方法，虽然制定了各种细则，但并没有明确规定如何计量资源消耗。在本文中，我们提出了一项关于在实际干预评估后的后续时期内对医疗保健利用的货币评估进行标准化的建议。从社会角度来看，主要考虑直接和间接成本组成部分，例如门诊医疗、药品、非医生保健服务、住院护理、病假天数和因病提前退休。标准成本基于行政收费和费率或官方统计数据。它们基于主要来自 2002 年和 2003 年的最新数据源。该标准成本系统旨在对资源消耗进行平均评估。这使得不同的卫生经济学研究具有可比性。大多数标准成本不是基于市场价格，而是基于行政指定的收费和费率。这意味着医疗保健系统中很常见的制度变化也可能影响估值率，例如 DRG 的引入。更新标准成本系统时应考虑到这一点。
Measurement of health care costs is a crucial task in health economic evaluation. Various guidelines with different amount of details have been set up for costing methods in economic evaluation which, however, do not precisely stipulate how to value resource consumption. In this article we present a proposal for the standardisation of the monetary valuation of health care utilisation occurring in the follow up period after the actual intervention to be evaluated. From a societal perspective the primary direct and indirect cost components are considered, such as outpatient medical care, pharmaceuticals, non-physician health services, inpatient care, days of sick leave and early retirement due to sickness. The standard costs are based on administrative charges and rates or on official statistics. They are based on the most current data sources which are mainly from 2002 and 2003. This system of standard costs aims at an average valuation of resource consumption. This makes for the comparability of different health economic studies. Most standard costs are not based on market prices but on administratively specified charges and rates. This implies that institutional changes which are quite common in the health care system, may also affect the valuation rates, for example the introduction of DRGs. This should be taken into account when updating the system of standard costs.