Medical costs

7 important questions on Medical costs

Cost measurement can be prospective and retrospective. Which study belongs with each of the two cost measurement?

  • Observational study (retrospective)
  • Alongside clinical trials, such as RCT (prospective)

Why can we not always apply the concept of opportunity costs in the health care sector?

Opportunity costs is the net economic benefit forgone when selecting one option rather than the next best alternative (fish and bananas). This especially applies in competitive markets.

However, the health care sector is not fully competitive. Often the prices are negotiated between stakeholders.

What is a better alternative for prive valuation instead opportunity costs?

Calculate the true resource costs by:

total costs/ treatment=(personnel costs+Material and building)/  treatment session
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What is a disadvantage in calculating the true resource costs?

Overhead costs: such as power and cleaning expenses. These expenses cannot be directly linked to patient services.

In allocating the overhead costs, which methods can we apply?

  • Direct allocation
  • Step-down allocation

Why should we consider future (non) medical costs in our cost estimation?

Otherwise we underestimate the opportunity costs of prolonging life interventions. It is inconsistent as you only include the effects, but not the costs.

Which 4 methods can we apply tot estimate the indirect medical costs?

  • Use age specific per capita spending
  • Use age specific per capita medical spending accounting for the face that medical spending is centered in the last year of life
  • Use age specific per capita medical spending for costs of related diseases
  • Combinations of 2 and 3

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