Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf (UKE), Martinistr. 52, 20251, Hamburg, Germany.
Department of Psychology, Universidad Loyola Andalucía, Seville, Spain.
BMC Health Serv Res. 2023 Sep 29;23(1):1045. doi: 10.1186/s12913-023-09944-0.
Health economic research is still facing significant problems regarding the standardization and international comparability of health care services. As a result, comparative effectiveness studies and cost-effectiveness analyses are often not comparable. This study is part of the PECUNIA project, which aimed to improve the comparability of economic evaluations by developing instruments for the internationally standardized measurement and valuation of health care services for mental disorders. The aim of this study was to identify internationally relevant services in the health and social care sectors relevant for health economic studies for mental disorders.
A systematic literature review on cost-of-illness studies and economic evaluations was conducted to identify relevant services, complemented by an additional grey literature search and a search of resource use measurement (RUM) questionnaires. A preliminary long-list of identified services was explored and reduced to a short-list by multiple consolidation rounds within the international research team and an external international expert survey in six European countries.
After duplicate removal, the systematic search yielded 15,218 hits. From these 295 potential services could be identified. The grey literature search led to 368 and the RUM search to 36 additional potential services. The consolidation process resulted in a preliminary list of 186 health and social care services which underwent an external expert survey. A final consolidation step led to a basic list of 56 services grouped into residential care, daycare, outpatient care, information for care, accessibility to care, and self-help and voluntary care.
The initial literature searches led to an extensive number of potential service items for health and social care. Many of these items turned out to be procedures, interventions or providing professionals rather than services and were removed from further analysis. The resulting list was used as a basis for typological coding, the development of RUM questionnaires and corresponding unit costs for international mental health economic studies in the PECUNIA project.
卫生经济研究在医疗服务的标准化和国际可比性方面仍面临重大问题。因此，比较有效性研究和成本效益分析往往不可比。本研究是 PECUNIA 项目的一部分，该项目旨在通过开发用于国际标准化测量和评估精神障碍的医疗服务的工具来提高经济评估的可比性。本研究的目的是确定与精神障碍卫生经济研究相关的卫生和社会保健部门的国际相关服务。
对疾病成本研究和经济评估进行了系统的文献回顾，以确定相关服务，辅之以额外的灰色文献搜索和资源使用测量（RUM）问卷搜索。通过国际研究团队内的多次合并回合以及六个欧洲国家的外部国际专家调查，对初步确定的服务长名单进行了探索，并将其简化为短名单。
经过重复删除，系统搜索产生了 15218 个命中。从这些命中中可以确定 295 种潜在服务。灰色文献搜索导致 368 种，RUM 搜索导致 36 种额外的潜在服务。合并过程产生了一个初步的 186 种卫生和社会保健服务清单，这些服务接受了外部专家调查。最后，一个基本的 56 项服务清单经过进一步的整合步骤，这些服务分为住院护理、日托护理、门诊护理、护理信息、护理可及性和自助及志愿护理。
最初的文献检索导致了大量潜在的卫生和社会保健服务项目。其中许多项目原来是程序、干预措施或提供专业人员，而不是服务，并从进一步的分析中删除。由此产生的清单被用作 PECUNIA 项目中国际精神卫生经济研究的类型编码、RUM 问卷开发和相应单位成本的基础。
