Title In Search for Comparability: The PECUNIA Reference Unit Costs for Health and Social Care Services in Europe
Authors Mayer S. , Berger M. , Konnopka A. , Brodszky V. , Evers S.M.A.A. , Hakkaart-Van Roijen L. , RUIZ GUTIÉRREZ COLOSIA, MENCIA, Salvador-Carulla L. , Park A.-L. , Hollingworth W. , García-Pérez L. , Simon J. , PECUNIA Group
External publication No
Means Int. J. Environ. Res. Public Health
Scope Article
Nature Científica
JCR Quartile 1
SJR Quartile 2
SJR Impact 0.82800
Web https://www.scopus.com/inward/record.uri?eid=2-s2.0-85126295358&doi=10.3390%2fijerph19063500&partnerID=40&md5=0e58b8fbf2ecf382310c20c5ee54d6da
Publication date 16/03/2022
ISI 000775269500001
Scopus Id 2-s2.0-85126295358
DOI 10.3390/ijerph19063500
Abstract Improving the efficiency of mental healthcare service delivery by learning from international best-practice examples requires valid data, including robust unit costs, which currently often lack cross-country comparability. The European ProgrammE in Costing, resource use measurement and outcome valuation for Use in multi-sectoral National and International health economic evaluAtions (PECUNIA) aimed to harmonize the international unit cost development. This article presents the methodology and set of 36 externally validated, standardized reference unit costs (RUCs) for five health and social care services (general practitioner, dentist, help-line, day-care center, nursing home) in Austria, England, Germany, Hungary, The Netherlands, and Spain based on unambiguous service definitions using the extended DESDE PECUNIA coding framework. The resulting PECUNIA RUCs are largely comparable across countries, with any causes for deviations (e.g., country-specific scope of services) transparently documented. Even under standardized methods, notable limitations due to data-driven divergences in key costing parameters remain. Increased cross-country comparability by adopting a uniform methodology and definitions can advance the quality of evidence-based policy guidance derived from health economic evaluations. The PECUNIA RUCs are available free of charge and aim to significantly improve the quality and feasibility of future economic evaluations and their transferability across mental health systems. © 2022, MDPI. All rights reserved.
Keywords article; economic evaluation; Europe; feasibility study; human; human experiment; mental health; social care
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