Títol:
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Estimates of patient costs related with population morbidity: Can indirect costs affect the results?
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Autor/a:
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Carreras, Marc; García-Goñi, Manuel; Ibern Regàs, Pere; Coderch, J.; Vall-Llosera, L.; Inoriza, José María
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Altres autors:
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Universitat Pompeu Fabra. Departament d'Economia i Empresa |
Abstract:
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A number of health economics works require patient cost estimates as a basic information input.
However the accuracy of cost estimates remains in general unspecified. We propose to investigate how
the allocation of indirect costs or overheads can affect the estimation of patient costs in order to allow for
improvements in the analysis of patient costs estimates. Instead of focusing on the costing method, this
paper proposes to highlight changes in variance explained observed when a methodology is chosen. We
compare three overhead allocation methods for a specific Spanish population adjusted using the Clinical
Risk Groups (CRG), and we obtain different series of full-cost group estimates. As a result, there are
significant gains in the proportion of the variance explained, depending upon the methodology used.
Furthermore, we find that the global amount of variation explained by risk adjustment models depends
mainly on direct costs and is independent of the level of aggregation used in the classification system. |
Matèries:
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-patient costs -clinical risk groups -variation explained -overhead allocation -Labour, Public, Development and Health Economics |
Drets:
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L'accés als continguts d'aquest document queda condicionat a l'acceptació de les condicions d'ús establertes per la següent llicència Creative Commons
http://creativecommons.org/licenses/by-nc-nd/3.0/es/ |
Tipus de document:
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Document de treball |
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