Table 1 Data sources used in estimating health and cost outcomes per intervention
From: Supporting a review of the benefits package of the National Health Insurance Scheme in Ghana
Data item | Source | Comments |
|---|---|---|
List of healthcare interventions | OneHealth Costing Tool v4.53 [22] | |
Health outcomes (DALYs avoided) per healthcare intervention | Academic literature (cost-effectiveness studies) | Full list of references available in Additional file 1: S2 |
Costs | ||
Medicines | NHIS Medicines List, and wholesale price quotes | – The most recent NHIS Medicines List can be accessed through: https://www.nhis.gov.gh/medlist.aspx – Costs for relevant pharmaceuticals not covered by the NHIS were provided by three wholesale providers of pharmaceuticals through a standardized Excel file |
Consumables | Procurement departments of health facilities, and wholesale price quotes | Costs were provided by two health facilities and five wholesale providers of medical goods through a standardized Excel file |
Lodging during in-patient stay | Ridge Hospital in Accra, Ghana | |
Health worker wages | Payroll data from the Ministry of Health | Based on the 2017 period, average monthly salaries were calculated for each type of health worker and multiplied by 12 to obtain yearly health worker wages |
Resource use per case treated | OneHealth Costing Tool v4.53 [22], validated by experts | Three Ghanaian health professionals provided feedback on an initial list of resource use per case treated for each intervention that was based on data in the OneHealth Tool: – A medical doctor gave input on the specific activities within each intervention (e.g. number of consultations), as well as the type of health worker providing the activities, the time spent on them and the consumables used in direct patient care – A pharmacists gave input on the types of pharmaceuticals used for each intervention, as well as the average dosages and duration of treatment – A biomedical scientist gave input on the consumables used for laboratory services |
Population in need | Mainly the Global Health Data Exchange, with additional data from the Ghana Statistical Service and academic literature | See details in Additional file 1: S3 |