The impact of using different costing methods on the results of an economic evaluation of cardiac care: microcosting vs gross-costing approaches

• Published in: Health economics Vol. 18; no. 4; pp. 377 - 388
• Main Authors: Clement (Nee Shrive), Fiona M., Ghali, William A., Donaldson, Cam, Manns, Braden J.
• Format: Journal Article
• Language: English
• Published: Chichester, UK John Wiley & Sons, Ltd 01.04.2009; Wiley Periodicals Inc
• Series: Health Economics
• Subjects: Aged; Alberta; Bias; Cardiovascular Diseases - drug therapy; Cardiovascular Diseases - economics; Cardiovascular Diseases - surgery; case-mix groupers; Cost estimates; costing; Costs and Cost Analysis - methods; Diagnosis-Related Groups - economics; economic evaluation; Estimation bias; gross costing; Health care; Health economics; Hospitalization; Humans; microcosting; Middle Aged; Monte Carlo simulation; Quality-Adjusted Life Years; Studies; Utility functions

Background: Published guidelines on the conduct of economic evaluations provide little guidance regarding the use and potential bias of the different costing methods. Objectives: Using microcosting and two gross‐costing methods, we (1) compared the cost estimates within and across subjects, and (2)...