Department of Health Economics, Center for Public Health, Medical University of Vienna, Kinderspitalgasse 15/1, 1090, Vienna, Austria.
Department of Psychiatry, University of Oxford, Warneford Hospital, OX3 7JX, Oxford, UK.
Wien Klin Wochenschr. 2024 Jan;136(1-2):1-12. doi: 10.1007/s00508-022-02128-6. Epub 2022 Dec 23.
Decision making in public health often happens against the background of scarce resources. The systematic use of economic evaluations can be a main enabler in the alignment of public health goals with budgetary constraints. However, the lack of standardized methodology in terms of costing method and perspective are a critical barrier to the implementation of economic evaluations and the international comparability of results. We present a novel set of 22 reference unit costs (RUCs) optimized for cross-sectoral economic evaluations in Austria suitable for international comparability calculated using the standardized PECUNIA RUC Template. The common framework for costing and reporting, as well as the easy availability of the RUCs will reduce the burden on researchers and policy makers in future economic evaluations. The higher quality, accuracy, transparency and availability of economic evidence for policy design will help to improve the efficiency of public health-relevant healthcare decisions and make it easier for policy makers to bring funding arrangements and decision making across multiple sectors in line with Health-in-All-Policies goals.
公共卫生决策通常是在资源稀缺的背景下做出的。系统地使用经济评估可以成为使公共卫生目标与预算限制保持一致的主要手段。然而,在成本计算方法和视角方面缺乏标准化方法是实施经济评估和结果国际可比性的关键障碍。我们提出了一套新的 22 个参考单位成本(RUC),这些 RUC 经过优化,可用于奥地利跨部门经济评估,适合使用标准化的 PECUNIA RUC 模板进行国际可比性计算。成本计算和报告的通用框架以及 RUC 的易于获取性将减轻未来经济评估中研究人员和政策制定者的负担。更高质量、准确性、透明度和经济证据的可用性将有助于提高与公共卫生相关的医疗保健决策的效率,并使政策制定者更容易根据“所有政策中健康”目标调整多个部门的资金安排和决策。