Wrona Witold, Hermanowski Tomasz, Jakubczyk Michał, Golicki Dominik, Czech Marcin, Niewada Maciej, Kolasa Katarzyna
Zakład Farmakoekonomiki, Warszawskiego Uniwersytetu Medycznego.
Przegl Epidemiol. 2011;65(1):153-7.
The aim of the survey was to collect data on practice and preferences of decision-makers and experts in health economics concerning the role of indirect costs in Poland. The questionnaire contained 18 questions covering the need for indirect costs calculation in economic evaluations and measures used to calculate indirect cost. Fifty four respondents related to health economics returned completed questionnaires. Mean age of respondents was 33,3 years; mean experience in health economics 4.7 years; 43% (23/54) of responders had non-economic background; 30% each were users and doers of health technology assessment reports. All (excluding one) responders indicated that indirect costs should be calculated in pharmacoeconomic studies. Twenty three (i.e., 43%) responders indicated human capital approach as the best method to estimate costs from societal perspective; friction cost method came second best 11%; 42% respondents had no opinion. The doers of economics evaluations pointed to GDP per capita (61%, 11/18), average salary (61%, 11/18), and costs of sick pay or injury benefit (61%, 11/18) as measures which could be used to value production losses. Indirect costs are considered important component of economic evaluations of healthcare interventions in Poland. The lack of widely accepted methods for indirect cost evaluation support further research.
该调查旨在收集有关波兰卫生经济学领域决策者和专家在间接成本作用方面的实践和偏好数据。问卷包含18个问题,涵盖经济评估中间接成本计算的必要性以及用于计算间接成本的方法。54位从事卫生经济学工作的受访者返回了填写完整的问卷。受访者的平均年龄为33.3岁;卫生经济学方面的平均经验为4.7年;43%(23/54)的受访者没有经济学背景;30%的受访者是卫生技术评估报告的使用者,30%是撰写者。所有(除一人外)受访者均表示,在药物经济学研究中应计算间接成本。23位(即43%)受访者表示,人力资本法是从社会角度估算成本的最佳方法;摩擦成本法次之,占11%;42%的受访者没有看法。经济评估撰写者指出,人均国内生产总值(61%,11/18)、平均工资(61%,11/18)以及病假工资或工伤福利成本(61%,11/18)可作为评估生产损失的指标。在波兰,间接成本被视为医疗保健干预措施经济评估的重要组成部分。缺乏广泛认可的间接成本评估方法支持进一步研究。