Tornar a Working Papers

Paper #1138

Estimates of patient costs related with population morbidity: Can indirect costs affect the results?
M. Carreras, Manuel García-Goñi, Pere Ibern, J. Coderch, L. Vall-Llosera i José María Inoriza
Gener 2009
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.
Paraules clau:
Patient costs, Clinical Risk Groups, Variation explained, Overhead allocation
Codis JEL:
B41, D24, I11
Àrea de Recerca:
Economia Laboral, Pública, de Desenvolupament i de la Salut
Número sèrie CRES:

Descarregar el paper en format PDF (93 Kb)

Cercar Working Papers

Per data:
-cal seleccionar un valor a les quatre llistes desplegables-

Consultes Predefinides