The identification of economically relevant health and social care services for mental disorders in the PECUNIA project.

Autor: Hinck P; Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf (UKE), Martinistr. 52, 20251, Hamburg, Germany., Gutierrez-Colosía M; Department of Psychology, Universidad Loyola Andalucía, Seville, Spain.; Scientific Association PSICOST, Seville, Spain., Duval C; Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf (UKE), Martinistr. 52, 20251, Hamburg, Germany., König HH; Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf (UKE), Martinistr. 52, 20251, Hamburg, Germany., Simon J; Department of Health Economics, Center for Public Health, Medical University of Vienna (MUW), Vienna, Austria.; Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK., Fischer C; Department of Health Economics, Center for Public Health, Medical University of Vienna (MUW), Vienna, Austria., Mayer S; Department of Health Economics, Center for Public Health, Medical University of Vienna (MUW), Vienna, Austria., Salvador-Carulla L; Health Research Institute, Faculty of Health, University of Canberra, Canberra, Australia.; Menzies Centre for Health Policy. School of Population Health, Faculty of Medicine and Health, University of Sydney, Camperdown, NSW, Australia., Brodszky V; Department of Health Economics, Corvinus University of Budapest (CUB), Budapest, Hungary., Roijen LH; Institute for Medical Technology Assessment, Erasmus University Rotterdam (EUR), Burgemeester Oudlaan 50, PO Box 1738, 3000, Rotterdam, DR, Netherlands.; Health Technology Assessment, Erasmus School of Health Policy and Management, Erasmus University Rotterdam (EUR), Burgemeester Oudlaan 50, PO Box 1738, 3000, Rotterdam, DR, Netherlands., Evers S; Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences (FHML), Maastricht University (UM), Maastricht, the Netherlands.; Trimbos, Netherlands Institute of Mental Health and Addiction, Da Costakade 45, 3521 VS, Utrecht, The Netherlands., Park AL; Care Policy and Evaluation Centre (CPEC), Department of Health Policy, London School of Economics and Political Science (LSE), London, UK., Hollingworth W; Health Economics Bristol, Department of Population Health Sciences, Bristol Medical School (UnivBris), Bristol, UK., Konnopka A; Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf (UKE), Martinistr. 52, 20251, Hamburg, Germany. a.konnopka@uke.de.
Jazyk: angličtina
Zdroj: BMC health services research [BMC Health Serv Res] 2023 Sep 29; Vol. 23 (1), pp. 1045. Date of Electronic Publication: 2023 Sep 29.
DOI: 10.1186/s12913-023-09944-0
Abstrakt: Background: Health economic research is still facing significant problems regarding the standardization and international comparability of health care services. As a result, comparative effectiveness studies and cost-effectiveness analyses are often not comparable. This study is part of the PECUNIA project, which aimed to improve the comparability of economic evaluations by developing instruments for the internationally standardized measurement and valuation of health care services for mental disorders. The aim of this study was to identify internationally relevant services in the health and social care sectors relevant for health economic studies for mental disorders.
Methods: A systematic literature review on cost-of-illness studies and economic evaluations was conducted to identify relevant services, complemented by an additional grey literature search and a search of resource use measurement (RUM) questionnaires. A preliminary long-list of identified services was explored and reduced to a short-list by multiple consolidation rounds within the international research team and an external international expert survey in six European countries.
Results: After duplicate removal, the systematic search yielded 15,218 hits. From these 295 potential services could be identified. The grey literature search led to 368 and the RUM search to 36 additional potential services. The consolidation process resulted in a preliminary list of 186 health and social care services which underwent an external expert survey. A final consolidation step led to a basic list of 56 services grouped into residential care, daycare, outpatient care, information for care, accessibility to care, and self-help and voluntary care.
Conclusions: The initial literature searches led to an extensive number of potential service items for health and social care. Many of these items turned out to be procedures, interventions or providing professionals rather than services and were removed from further analysis. The resulting list was used as a basis for typological coding, the development of RUM questionnaires and corresponding unit costs for international mental health economic studies in the PECUNIA project.
(© 2023. BioMed Central Ltd., part of Springer Nature.)
Databáze: MEDLINE
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