García-Pérez Lidia, Linertová Renata, Hernández-Yumar Aránzazu, Valcárcel-Nazco Cristina, Perdomo-Vielma Jhoner, Serrano-Aguilar Pedro, Gutierrez-Colosia Mencia R, Salvador-Carulla Luis, Fernández-Vega Enrique, Mayer Susanne, Simon Judit
Servicio de Evaluación, Servicio Canario de la Salud (SESCS), 38109, Santa Cruz De Tenerife, Spain.
Department of Psychology, Universidad Loyola Andalucía, Seville, Spain.
Cost Eff Resour Alloc. 2024 Dec 18;22(1):92. doi: 10.1186/s12962-024-00601-9.
The PECUNIA Project was funded by the H2020 programme in which 10 partners from six countries participated. The aim was to develop standardized, harmonized and validated methods and tools to calculate costs in different sectors (such as health and social care, education among others), with the purpose of facilitating comparability of economic evaluations of health technologies across European countries. In this paper we report the first validation of the developed reference unit cost templates in Spain.
The evaluation of the PECUNIA Reference Unit Cost (RUC) Templates involved usability, transferability and feasibility assessment. Applicability tests were performed to estimate the cost of a selection of 15 resource items by means of the RUC templates in Spain and in four Spanish regions. External validation involved comparison with existing unit costs.
It was possible to estimate the cost of five services (dental care and general practitioner in the Canary Islands, general practitioner in Spain [tariffs], health-related day care centre and education services provided in a special education school in the Basque Country), car vandalism as an example of potential health-related consequences, and informal care in Spain. The templates were feasible although data completeness depended on the type of data needed to estimate the costs. The templates are transferable across countries although comparability depends on the services available in each jurisdiction.
The PECUNIA RUC Templates are free and feasible tools to estimate comparable reference unit costs across countries. Although more validation exercises are needed, they seem useful tools to perform robust multi-national economic evaluations and increase the transferability of cost-effectiveness studies of health technologies in Europe. However, they cannot compensate for the lack of data across jurisdictions.
PECUNIA项目由“地平线2020”计划资助，来自六个国家的10个合作伙伴参与其中。其目的是开发标准化、统一且经过验证的方法和工具，以计算不同部门（如卫生和社会护理、教育等）的成本，旨在促进欧洲各国卫生技术经济评估的可比性。在本文中，我们报告了所开发的参考单位成本模板在西班牙的首次验证情况。
对PECUNIA参考单位成本（RUC）模板的评估涉及可用性、可转移性和可行性评估。进行了适用性测试，以通过RUC模板在西班牙及四个西班牙地区估算15种资源项目的成本。外部验证包括与现有单位成本进行比较。
能够估算五项服务的成本（加那利群岛的牙科护理和全科医生服务、西班牙的全科医生服务[费率]、与健康相关的日托中心以及巴斯克地区一所特殊教育学校提供的教育服务），以汽车故意破坏行为作为潜在健康相关后果的示例，以及西班牙的非正式护理成本。这些模板是可行的，尽管数据完整性取决于估算成本所需的数据类型。这些模板可在各国之间转移，尽管可比性取决于每个司法管辖区提供的服务。
PECUNIA RUC模板是免费且可行的工具，可用于估算各国可比的参考单位成本。尽管还需要更多的验证工作，但它们似乎是进行有力的跨国经济评估以及提高欧洲卫生技术成本效益研究可转移性的有用工具。然而，它们无法弥补各司法管辖区数据的缺失。
