Table 1.

Checklist of health outcomes and costs included under payer’s perspective as per the Impact Inventory Template given by Second Panel on Cost-Effectiveness in Health and Medicine

Type of Impact (list category within each sector with unit of measure if relevant)	Included in This Base Case Analysis From payer’s perspective (Yes/No)
Health outcomes (effects)
Longevity effects	Yes
Health-related quality-of-life effects	Yes
Other health effects (eg, adverse events and secondary transmissions of infections)	No
Medical costs
Paid for by third-party payers	Yes
Paid for by patients out-of-pocket	No
Future related medical costs (payers)	Yes
Future related medical costs (patients)	No
Future unrelated medical costs (payers)	No
Future unrelated medical costs (patients)	No