APPROACHES TO ESTIMATING INDIRECT COSTS IN HEALTHCARE: MOTIVATIONS FOR CHOICE

F. Mennini, L. Gitto
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引用次数: 3

Abstract

When performing health economic evaluations all costs and expected benefits (in terms of clinical effectiveness, utility, monetary benefits) should be taken into account. Costs are direct and indirect: concerning the latter, two main methods have been developed. The Human Capital Approach (HCA) considers the gross salary in the days of absence from work due to illness; the method based on the Friction Costs (FC), instead, considers equally the value of productivity, but the losses are limited to the period of illness when it is necessary to replace the absent worker. This paper conducts a review of the literature contributions for European countries and aims at identifying common trends within geographical areas. Estimation of indirect costs in different European areas may reflect the real cost of health services across countries and schematize the conditions under which a certain method should be preferred. Overall, cost analyses applying HCA are the most frequent, while studies based on FC are more common in the Netherlands, where this method had been developed. The reasons to apply HCA or FC may depend on the institutional context, for example, the flexibility in the job market, and the epidemiologic environment.
估计医疗保健间接成本的方法:选择的动机
在进行卫生经济评估时,应考虑到所有成本和预期收益(在临床有效性、效用、货币效益方面)。费用分为直接费用和间接费用:关于间接费用,已发展出两种主要方法。人力资本法(HCA)考虑因病缺勤天数的工资毛额;相反,基于摩擦成本(FC)的方法同样考虑了生产力的价值,但损失仅限于病假期间,需要替换缺勤的工人。本文对欧洲国家的文献贡献进行了回顾,旨在确定地理区域内的共同趋势。对欧洲不同地区间接费用的估计可能反映出各国卫生服务的实际成本,并概括地说明在何种条件下应优先采用某种方法。总的来说,应用HCA的成本分析是最常见的,而基于FC的研究在荷兰更为常见,因为该方法是在荷兰开发的。采用HCA或FC的原因可能取决于机构背景,例如,就业市场的灵活性和流行病学环境。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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