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Table 1 Transferability factors identified from Welte et al. [20]

From: Cost transferability problems in economic evaluation as a framework for an European health care and social costs database

Categories

Transferability factors

Direct influence on

Methodological characteristics

Perspective; discount rate; medical cost approach (charges, fees, prices); Productivity cost approach (friction cost method, human capital approach, QALYs)

Costs and effects

Costs and effects

Direct medical cost

Productivity cost

Healthcare system characteristics

Absolute and relative prices in healthcare

Practice variation (staff characteristics, characteristics and learning effects of physicians; nurses and hospitals; liability of physicians; type of healthcare facility; organizational characteristics

Technology availability (range of licensed products; availability of generics; competition; market form of suppliers; payment of suppliers; incentives to suppliers; supplier-induced demand; healthcare delivery structure; waiting lists; referral patterns; healthcare before and after intervention; quality of care; capacity utilization; economies of scale

Direct medical cost

Costs and effects

Direct costs

Population characteristics

Disease incidence/prevalence

Case-mix (age; sex; race; education; socioeconomic; disease severity; co-morbidity; medical history; concurrent medications; susceptibility)

Life expectancy (progression of disease; natural history of the disease; lifestyle; risk factors; environmental factors; genetic factors)

Health-status preferences factors (methods to measure health-status valuation)

Acceptance, compliance, incentives to patients (technology acceptance; compliance; incentives to patients; insurance level; co-payments; moral hazard)

Productivity and work-loss time (friction time; income level and distribution)

Disease spread patients (population density; immigration; emigration; travelling; ethical standards)

Costs and effects

Costs and effects

Costs and effects

Effects

Costs and effects

Productivity cost

Costs and effects

  1. Source: Welte et al. [20]