Abstract
Against a background of increasing demands on limited resources, there will be an emphasis on undertaking studies that relate benefits of an intervention to the costs that are incurred in their production. Patient costs are an important, but often overlooked, part of an economic exercise and include transport costs, loss of employment, and loss of leisure time. This paper highlights the theoretical difficulties inherent in deriving patient costs and suggests a pragmatic framework to derive unit costs in these areas. We demonstrate that these costs are not inconsiderable when compared with the cost of a general practitioner consultation.
Full Text
The Full Text of this article is available as a PDF (35.5 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Johannesson M., Meltzer D. Some reflections on cost-effectiveness analysis. Health Econ. 1998 Feb;7(1):1–7. doi: 10.1002/(sici)1099-1050(199802)7:1<1::aid-hec327>3.0.co;2-u. [DOI] [PubMed] [Google Scholar]
- Kernick D. Costing interventions in primary care. Fam Pract. 2000 Feb;17(1):66–70. doi: 10.1093/fampra/17.1.66. [DOI] [PubMed] [Google Scholar]
- Posnett J., Jan S. Indirect cost in economic evaluation: the opportunity cost of unpaid inputs. Health Econ. 1996 Jan-Feb;5(1):13–23. doi: 10.1002/(SICI)1099-1050(199601)5:1<13::AID-HEC182>3.0.CO;2-J. [DOI] [PubMed] [Google Scholar]
- Sackett D. L., Rosenberg W. M. The need for evidence-based medicine. J R Soc Med. 1995 Nov;88(11):620–624. doi: 10.1177/014107689508801105. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Siegel J. E., Weinstein M. C., Russell L. B., Gold M. R. Recommendations for reporting cost-effectiveness analyses. Panel on Cost-Effectiveness in Health and Medicine. JAMA. 1996 Oct 23;276(16):1339–1341. doi: 10.1001/jama.276.16.1339. [DOI] [PubMed] [Google Scholar]
