Cross-country comparisons of costs: the use of episode-specific transitive purchasing power parities with standardised cost categories

International comparisons of healthcare costs are growing in importance for a number of different applications. The use of common approaches to converting costs such as GDP purchasing power parities (PPPs) often does not reflect price differences in healthcare in an appropriate manner. This means th...

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Vydané v:	Health economics Ročník 17; číslo S1; s. S95 - S103
Hlavní autori:	Schreyögg, Jonas, Tiemann, Oliver, Stargardt, Tom, Busse, Reinhard
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	Chichester, UK John Wiley & Sons, Ltd 01.01.2008 Wiley Periodicals Inc
Edícia:	Health Economics
Predmet:	Ambulatory Care - economics Appendectomy - economics Arthroplasty, Replacement, Hip - economics Conversion Costs Costs and Cost Analysis - methods Cross-Cultural Comparison Delivery, Obstetric - economics Diagnosis related groups Europe European Union European Union - economics Feasibility Feasibility Studies GDP Gross Domestic Product Health care Health Care Costs Health care expenditures Health economics Health services hospital costs Hospitalization - economics Hospitals Humans Intensive care International comparisons Myocardial Infarction - economics Prices Purchasing Purchasing power purchasing power parities Purchasing power parity Stroke - economics Studies Europe
ISSN:	1057-9230, 1099-1050
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Popis
Shrnutí:	International comparisons of healthcare costs are growing in importance for a number of different applications. The use of common approaches to converting costs such as GDP purchasing power parities (PPPs) often does not reflect price differences in healthcare in an appropriate manner. This means that new approaches need to be explored. The objective of this paper is to demonstrate the feasibility of using episode‐specific PPPs (ESPPPs) to facilitate cross‐country comparisons of healthcare costs and to compare this approach with other common approaches to conversion. Costs for five care episodes from hospitals in eight European countries were obtained from the EU HealthBASKET project. ESPPPs were created by using Fisher‐type PPPs in combination with the Eltetö–Köves–Szulc method at the episode level. Differences in ESPPPs among the five care episodes were discussed and compared with other common conversion approaches. We found that ESPPPs‐reflected prices and resource use more accurately than conventional conversion approaches such as GDP PPPs and medical care PPPs. This was particularly evident for labour‐intensive care episodes in which other conversion approaches revealed problems in the way that labour input had not been considered appropriately. The results demonstrate that ESPPPs are preferable to other common conversion approaches when international healthcare cost comparisons are performed. Copyright © 2008 John Wiley & Sons, Ltd.
Bibliografia:	European Commission within the Sixth Framework Research Programme - No. SP21-CT-2004-501588 ark:/67375/WNG-BC0BQCNZ-B Commonwealth Fund Harkness Fellowship in Health Care Policy istex:7EF2A3487D0BFFB23DCF440C06910B4044BC2635 ArticleID:HEC1327 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 14 ObjectType-Article-1 ObjectType-Feature-2 content type line 23
ISSN:	1057-9230 1099-1050
DOI:	10.1002/hec.1327