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Costs and where to find them: identifying unit costs for health economic evaluations of diabetes in France, Germany and Italy
- Source :
- The European Journal of Health Economics
- Publication Year :
- 2020
- Publisher :
- Springer Berlin Heidelberg, 2020.
-
Abstract
- Background Health economic evaluations require cost data as key inputs. Many countries do not have standardized reference costs so costs used often vary between studies, thereby reducing transparency and transferability. The present review provided a comprehensive overview of cost sources and suggested unit costs for France, Germany and Italy, to support health economic evaluations in these countries, particularly in the field of diabetes. Methods A literature review was conducted across multiple databases to identify published unit costs and cost data sources for resource items commonly used in health economic evaluations of antidiabetic therapies. The quality of unit cost reporting was assessed with regard to comprehensiveness of cost reporting and referencing as well as accessibility of cost sources from published cost-effectiveness analyses (CEA) of antidiabetic medications. Results An overview of cost sources, including tariff and fee schedules as well as published estimates, was developed for France, Germany and Italy, covering primary and specialist outpatient care, emergency care, hospital treatment, pharmacy costs and lost productivity. Based on these sources, unit cost datasets were suggested for each country. The assessment of unit cost reporting showed that only 60% and 40% of CEAs reported unit costs and referenced them for all pharmacy items, respectively. Less than 20% of CEAs obtained all pharmacy costs from publicly available sources. Conclusions This review provides a comprehensive account of available costs and cost sources in France, Germany and Italy to support health economists and increase transparency in health economic evaluations in diabetes.
- Subjects :
- medicine.medical_specialty
Cost effectiveness
Cost
Cost-Benefit Analysis
Economics, Econometrics and Finance (miscellaneous)
030209 endocrinology & metabolism
Pharmacy
Unit (housing)
03 medical and health sciences
0302 clinical medicine
Ambulatory care
Germany
medicine
Diabetes Mellitus
Humans
030212 general & internal medicine
I10
Unit cost
health care economics and organizations
Cost database
Original Paper
Health economics
Actuarial science
business.industry
Health Policy
Public health
Diabetes
D61
Italy
Cost-effectiveness
France
business
Subjects
Details
- Language :
- English
- ISSN :
- 16187601 and 16187598
- Volume :
- 21
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- The European Journal of Health Economics
- Accession number :
- edsair.doi.dedup.....fc24ee3b546aac5bd1ee990b6b53b0ab