RT Journal Article
T1 A general framework for classifying costing methods for economic evaluation of health care.
A1 Špacirova, Zuzana
A1 Epstein, David
A1 Garcia-Mochon, Leticia
A1 Rovira, Joan
A1 Olry-de-Labry-Lima, Antonio
A1 Espin, Jaime
K1 Activity-based costing
K1 Bottom-up method
K1 Costing methodology
K1 Economic evaluation
K1 Micro-costing
K1 Top-down method
AB According to the most traditional economic evaluation manuals, all "relevant" costs should be included in the economic analysis, taking into account factors such as the patient population, setting, location, year, perspective and time horizon. However, cost information may be designed for other purposes. Health care organisations may lack sophisticated accounting systems and consequently, health economists may be unfamiliar with cost accounting terminology, which may lead to discrepancy in terms used in the economic evaluation literature and management accountancy. This paper identifies new tendencies in costing methodologies in health care and critically comments on each included article. For better clarification of terminology, a pragmatic glossary of terms is proposed. A scoping review of English and Spanish language literature (2005-2018) was conducted to identify new tendencies in costing methodologies in health care. The databases PubMed, Scopus and EconLit were searched. A total of 21 studies were included yielding 43 costing analysis. The most common analysis was top-down micro-costing (49%), followed by top-down gross-costing (37%) and bottom-up micro-costing (14%). Resource data were collected prospectively in 12 top-down studies (32%). Hospital database was the most common way of collection of resource data (44%) in top-down gross-costing studies. In top-down micro-costing studies, the most resource use data collection was the combination of several methods (38%). In general, substantial inconsistencies in the costing methods were found. The convergence of top-down and bottom-up methods may be an important topic in the next decades.
PB Springer
YR 2019
FD 2019-11-25
LK http://hdl.handle.net/10668/14972
UL http://hdl.handle.net/10668/14972
LA en
NO Špacírová Z, Epstein D, García-Mochón L, Rovira J, Olry de Labry Lima A, Espín J. A general framework for classifying costing methods for economic evaluation of health care. Eur J Health Econ. 2020 Jun;21(4):529-542.
NO This study has received funding from the European Union’s Horizon 2020 research and innovation programme under Grant agreement no. 779312.
DS RISalud
RD Apr 8, 2025