Validation of the PECUNIA reference unit costs templates in Spain: a useful tool for multi-national economic evaluations of health technologies.

IF 1.7 4区医学 Q3 HEALTH POLICY & SERVICES Cost Effectiveness and Resource Allocation Pub Date : 2024-12-18 DOI:10.1186/s12962-024-00601-9

Lidia García-Pérez, Renata Linertová, Aránzazu Hernández-Yumar, Cristina Valcárcel-Nazco, Jhoner Perdomo-Vielma, Pedro Serrano-Aguilar, Mencia R Gutierrez-Colosia, Luis Salvador-Carulla, Enrique Fernández-Vega, Susanne Mayer, Judit Simon

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Abstract

Background: The PECUNIA Project was funded by the H2020 programme in which 10 partners from six countries participated. The aim was to develop standardized, harmonized and validated methods and tools to calculate costs in different sectors (such as health and social care, education among others), with the purpose of facilitating comparability of economic evaluations of health technologies across European countries. In this paper we report the first validation of the developed reference unit cost templates in Spain.

Methods: The evaluation of the PECUNIA Reference Unit Cost (RUC) Templates involved usability, transferability and feasibility assessment. Applicability tests were performed to estimate the cost of a selection of 15 resource items by means of the RUC templates in Spain and in four Spanish regions. External validation involved comparison with existing unit costs.

Results: It was possible to estimate the cost of five services (dental care and general practitioner in the Canary Islands, general practitioner in Spain [tariffs], health-related day care centre and education services provided in a special education school in the Basque Country), car vandalism as an example of potential health-related consequences, and informal care in Spain. The templates were feasible although data completeness depended on the type of data needed to estimate the costs. The templates are transferable across countries although comparability depends on the services available in each jurisdiction.

Conclusions: The PECUNIA RUC Templates are free and feasible tools to estimate comparable reference unit costs across countries. Although more validation exercises are needed, they seem useful tools to perform robust multi-national economic evaluations and increase the transferability of cost-effectiveness studies of health technologies in Europe. However, they cannot compensate for the lack of data across jurisdictions.

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在西班牙验证PECUNIA参考单位成本模板：一个对卫生技术进行多国经济评价的有用工具。

背景：PECUNIA项目由H2020计划资助，来自6个国家的10个合作伙伴参与了该计划。其目的是制定标准化、统一和有效的方法和工具来计算不同部门（如卫生和社会保健、教育等）的成本，以促进欧洲各国卫生技术经济评价的可比性。在本文中，我们报告了第一次验证开发的参考单位成本模板在西班牙。方法：对PECUNIA参考单位成本（RUC）模板进行可用性评估、可转移性评估和可行性评估。在西班牙和西班牙的四个地区，通过RUC模板进行了适用性测试，以估计选出的15个资源项目的成本。外部验证包括与现有单位成本的比较。结果：可以估计五项服务的成本（加那利群岛的牙科保健和全科医生，西班牙的全科医生[关税]，与健康有关的日托中心和巴斯克地区一所特殊教育学校提供的教育服务），以汽车破坏为例，可能与健康有关的后果，以及西班牙的非正式护理。尽管数据的完整性取决于估算成本所需的数据类型，但模板是可行的。这些模板可在各国之间转让，但可比性取决于每个司法管辖区提供的服务。结论：PECUNIA RUC模板是估算各国可比参考单位成本的免费且可行的工具。虽然需要更多的验证工作，但它们似乎是进行强有力的多国经济评价和增加欧洲卫生技术成本效益研究的可转移性的有用工具。然而，它们无法弥补跨司法管辖区数据的缺乏。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cost Effectiveness and Resource Allocation HEALTH POLICY & SERVICES-

CiteScore

3.40

自引率

4.30%

发文量

审稿时长

34 weeks

期刊介绍： Cost Effectiveness and Resource Allocation is an Open Access, peer-reviewed, online journal that considers manuscripts on all aspects of cost-effectiveness analysis, including conceptual or methodological work, economic evaluations, and policy analysis related to resource allocation at a national or international level. Cost Effectiveness and Resource Allocation is aimed at health economists, health services researchers, and policy-makers with an interest in enhancing the flow and transfer of knowledge relating to efficiency in the health sector. Manuscripts are encouraged from researchers based in low- and middle-income countries, with a view to increasing the international economic evidence base for health.