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Journal article

The identification of economically relevant health and social care services for mental disorders in the PECUNIA project

Abstract:
Background: 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. Methods: 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. Results: 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. Conclusions: 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.
Publication status:
Published
Peer review status:
Peer reviewed

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Files:
Publisher copy:
10.1186/s12913-023-09944-0
Publication website:
https://pure.eur.nl/ws/files/103911764/s12913-023-09944-0.pdf

Authors

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Institution:
University of Oxford
Role:
Author
ORCID:
0000-0001-9279-8627


Publisher:
BioMed Central
Journal:
BMC Health Services Research More from this journal
Volume:
23
Issue:
1
Pages:
1045-1045
Article number:
1045
Publication date:
2023-09-29
DOI:
EISSN:
1472-6963
ISSN:
1472-6963


Language:
English
Keywords:
Pubs id:
1547377
Local pid:
pubs:1547377
Source identifiers:
W4387166301
Deposit date:
2026-05-17
ARK identifier:
This ORA record was generated from metadata provided by an external service. It has not been edited by the ORA Team.

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