Setting Standards for Global Health Costing Anna

Transcript:Setting Standards for Global Health Costing Anna:
Setting Standards for Global Health Costing Anna Vassall, LSHTM, on behalf the GHCC consortium Why set standards in costing? Improving the nature and extent of use of cost data: Systematic reviews of costs suggest a wide variety of costing methods and metrics Poor quality may lead to poor decisions - but how to judge poor quality Improving the production of cost data Inefficiency – what is important? Limited use of current guidelines Limited capacity in costing What do you value most in cost data? It is artificial to have to order them, as I value and require all of the above "Data that is comprehensive" would have been a good additional option. The approach What is a ‘reference case’? The aim of a reference case is to provide guidance on a set of standardised set of principles, methods and reporting standards US panels on Cost-Effectiveness in Health and Medicine iDSi reference case for economic evaluations Country specific reference cases Tool for both users and producers Reference Case content Set of ‘acceptable’ principles Methodological guidance on how to achieve those principles (theory and evidence based) Reporting standards Standardisation for specific interventions with additional guidance where available => Reference case compatible guidelines/tools What would be the greatest benefit of adopting a Reference Case for collecting cost data in LMIC? I don't think one can or should be developed To ensure consistency of methods and comparability of results across different studies/ settings/ time as well as to improve the quality of costing studies. Ensuring cost data was transparent so that users could apply it correctly to decision makers Increase understandability and comparability of data. Encourage efficiency of costing. What would be the greatest risk of adopting a Reference Case for collecting cost data in LMIC? Limited acceptability for future innovative approaches to cost data collection and analysis Could put additional burden on researchers (both with and without capacity/skills) and increase costs of data collection. It would become quickly outdated. If too general, it is not useful, and if too specific it may too long and overwhelming for non-academics. Ensuring relevancy across country contexts (e.g., reflecting differences between LICs and MICs) Hard to provide guidance to address all possible questions-- might not get used to the extent we wish What would be your top suggestions for a reference case to make cost data useful to decision makers at the country level? Cannot be seen