Cost data in implementation science: categories and approaches to costing.
A lack of cost information has been cited as a barrier to implementation and a limitation of implementation research. This paper explains how implementation researchers might optimize their measurement and inclusion of costs, building on traditional economic evaluations comparing costs and effective...
| Publicado en: | Implementation Science Vol. 17; no. 1; pp. 1 - 13 |
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| Autores principales: | , , , |
| Formato: | Journal Article |
| Publicado: |
BioMed Central
1/28/2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=154979813&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 154979813 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17485908 38MN jtl: Implementation Science issn: 17485908 maglogo: N pubinfo: dt: 1/28/2022 vid: 17 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 154979813 154979813 NLM35090508 10.1186/s13012-021-01172-6 NLM35090508 154979813 ppf: 1 ppct: 12 formats: tig: atl: Cost data in implementation science: categories and approaches to costing. aug: au: Gold, Heather T. McDermott, Cara Hoomans, Ties Wagner, Todd H. affil: NYU Langone Health, 550 First Ave, VZ30, Sixth Floor, 10016, New York, NY, USA sug: subj: Health Care Delivery Cost Benefit Analysis Data Collection Criminology Caregiver Strain Index Social Readjustment Rating Scale ab: A lack of cost information has been cited as a barrier to implementation and a limitation of implementation research. This paper explains how implementation researchers might optimize their measurement and inclusion of costs, building on traditional economic evaluations comparing costs and effectiveness of health interventions. The objective of all economic evaluation is to inform decision-making for resource allocation and to measure costs that reflect opportunity costs-the value of resource inputs in their next best alternative use, which generally vary by decision-maker perspective(s) and time horizon(s). Analyses that examine different perspectives or time horizons must consider cost estimation accuracy, because over longer time horizons, all costs are variable; however, with shorter time horizons and narrower perspectives, one must differentiate the fixed and variable costs, with fixed costs generally excluded from the evaluation. This paper defines relevant costs, identifies sources of cost data, and discusses cost relevance to potential decision-makers contemplating or implementing evidence-based interventions. Costs may come from the healthcare sector, informal healthcare sector, patient, participant or caregiver, and other sectors such as housing, criminal justice, social services, and education. Finally, we define and consider the relevance of costs by phase of implementation and time horizon, including pre-implementation and planning, implementation, intervention, downstream, and adaptation, and through replication, sustainment, de-implementation, or spread. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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