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).