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. 2021 Oct 29;21:1179. doi: 10.1186/s12913-021-07147-z

Table 2.

Intersectoral costs identified in the selected studies

Cost components per sector/ Authors Kuhlmann
et al.
Lopez-Bastida et al. Mostardt
et al.
Owusu-Edusei et al. Shon
et al.
Yang
et al.
Total
PATIENT & FAMILY √ √ √ 4
Out-of-pocket costs as part of health systems/insurance co-pay a √ √ √
Out-of-pocket costs outside health systems/insurance b √
Out-of-pocket costs for hired caregiver √
Travel expenses for patients √ √ √
Travel expenses for family/caregiver √
INFORMAL CARE √ √ √ 3
Time invested/productivity lost by non-paid family/friends √ √
Caregiver support for outpatient care √*
PATIENT PRODUCTIVITY - PAID LABOUR √ √ √ √ √ √ 6
Productivity loss due to absenteeism c √ √ √ √ √
Productivity loss due to morbidity √ √
Productivity loss due to disability √
  short-term √
  long-term √
  partial √
Productivity loss stemming from cease-to-work √
Productivity loss due to premature death √ √

a Categorised and assessed alongside healthcare costs (direct costs) in the original study. It includes patient out-of-pocket co-payments for medical services and drugs not covered by the national health insurance. Kuhlmann et al. referred to it as patient costs (or Patientenkosten and Patientenzuzahlungen).

b Categorised and assessed alongside healthcare costs (informal direct medical costs) in the original study. It includes over-the-counter drugs, dietary supplements, folk remedies, traditional Korean medicine services and other treatment-related resource utilizations paid for by patients.

c Three studies (Owusu-Edusei et al., Shon et al., and Yang et al.) accounted for patient time lost, for instance, for care-seeking. The studies equated these to productivity or income lost.

* It was not clear whether caregivers involved paid or unpaid support and whom this involved (i.e. friends, family).