Table 2.
Health resources and quantification.
Domain | Item | Valuation | |
Direct medical costs |
|
|
|
|
Inpatient care/day admission | Days in hospital, rehabilitation, and nursing wards | Standardized cost units |
|
Ambulant consultations | Visits to general practitioners, neurologists, others specialists (urologists, ophthalmologists, and psychiatrists), multiple sclerosis nurses, physical therapists, psychologists, occupational therapists, opticians, speech therapists, acupuncturists, and other alternative healing professionals | Standardized cost units |
|
Investigations/diagnostics | Magnetic resonance imaging, computed tomography, spinal tap, blood tests, and others | Physicians’ fee schedule |
|
Over-the-counter medication | Medication and recommending doctor | Patient reported |
|
Disease-modifying therapies |
|
Annual therapy costs as calculated from medication reports |
|
Home help and support of professionals | Professional help, household care, and personal assistance | Human capital approach |
|
Medical consumables | Medical consumables | Patient reported |
Direct nonmedical costs |
|
|
|
|
Investments and equipment | House and car modifications, walking aids, wheelchair (manual and electric), scooter, sickbed, and others; payer and grants | Patient reported |
|
Informal care | Time taken for preparation of meals, climbing stairs, personal care, drug administration, transport, and others; reduction of working hours of relatives | Opportunity costs method |
Indirect costs |
|
|
|
|
Employment and labor productivity | Full or part time work, sick leaves, reduced working time, change of work, and loss of earning | Human capital approach |
|
Employment and labor productivity | Absence hours (multiple sclerosis and others), total working hours, and productivity scale | Human capital approach |