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Multi-sectoral costs and benefits in health economic evaluations across Europe: the PECUNIA project

Simon, J., König, Hans Helmut, Brodszky, Valentin, Evers, Silvia M.A.A., Hakkaart-van Roijen, L., Serrano-Aguilar, Pedro, Salvador-Carulla, Luis, Park, A-La ORCID: 0000-0002-4704-4874 and Hollingworth, William (2019) Multi-sectoral costs and benefits in health economic evaluations across Europe: the PECUNIA project. In: 4th ATHEA Conference: Economics of Child Health, 2019-03-01, Vienna, Austria.

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Abstract

Background PECUNIA (ProgrammE in Costing, resource use measurement and outcome valuation for Use in multi-sectoral National and International health economic evaluAtions) aims to establish standardised costing and outcome assessment measures for optimised healthcare provision in national healthcare systems in the European Union. The consortium coordinated by the Medical University of Vienna brings together ten partners from six countries with complementary methodological expertise. It represents differing health care systems with varying feasibility and acceptability of economic evaluations in evidence-informed decision-making. Some countries have established national unit cost programmes (DE, NL, UK), some early stage initiatives (AT, ES, HU). Availability of health utility value sets for outcome evaluations and requirements in terms of the primary analytical perspective of economic evaluations (health & social care vs. societal) also differ. Aims Between 2018 and 2020, PECUNIA will develop standardized, harmonized and validated multi-sectoral, multinational and multi-person methods, tools and information for 1) self-reported resource use measurement, 2) reference unit cost valuation, 3) cross-country health utility assessment, and 4) broader wellbeing measurement. Methods To achieve this, PECUNIA works alongside four cross-sectoral horizontal activities around the harmonised identification, definition, measurement and valuation of costs in multiple sectors (health care, social care, criminal justice, education, employment, patient and family). Considering feasibility and relevant societal challenges in the European health systems, selected mental disorders (depression, schizophrenia, PTSD) are used as illustrative examples for cost assessment. Results The project has now developed its concept paper within the framework of the multi-sectoral ‘PECUNIA service atom’, which looks at transferable generic units of analysis for economic evaluations. This serves as the basis for the comparative country reports from the six European countries, which are currently in progress. Relevant status quo in the form of scoping reviews, a roadmap to the work plan and preliminary results from the country reports will be discussed as part of the presentation. Conclusions and Implications The PECUNIA project will lead to better understanding of the variations in costs and outcomes within and across countries, improve the quality, comparability and transferability of economic evaluations in Europe, and support the feasibility of broader economic and societal impacts measurement and valuation in multi-sectoral economic evaluations also for HTA. Funding acknowledgement The PECUNIA project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 779292.

Item Type: Conference or Workshop Item (Paper)
Official URL: https://www.athea.at/en/fourth-athea-conference/
Additional Information: © 2019 Austrian Health Economics Association
Divisions: Personal Social Services Research Unit
Subjects: R Medicine > RA Public aspects of medicine
Date Deposited: 17 Dec 2021 10:39
Last Modified: 15 Sep 2023 08:38
URI: http://eprints.lse.ac.uk/id/eprint/112973

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