Skip to main content

Economic Data Collection: Instruments for Measuring Health Service Use and Direct Health Costs The Bottom-Up Approach

  • Chapter
  • First Online:
Book cover Mental Health Economics

Abstract

Quality of economic data is paramount in economic evaluation. To estimate costs, it is necessary to measure consumption of resources and, in the case of direct health costs, the utilization of health services. Instruments assessing health services use rely on patient self-report, allowing bias and methodological challenges. However, the majority of health services instruments do not include mental health services. Few instruments have been developed for economic evaluation in mental health. Importantly, few instruments were validated, and in this regard, several methodological obstacles exist. The Client Sociodemographic Service Receipt Inventory is the most used instrument for estimating direct costs in economic evaluation in mental health. This chapter outlines the main methodological issues involved in developing, validating, and applying such instruments and presents the instruments available for this purpose. In this regard, an example of translating and adapting the Client Sociodemographic Service Receipt Inventory to Portuguese (ISDUCS) is described, raising the main issues related to the instrument’s feasibility and applicability in a sample with moderate and severe mental disorders in a middle-income setting.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Beecham J, Knapp M. Costing psychiatric interventions. In: Thornicroft G, editor. Measuring mental health needs. London: Gaskell; 2001. p. 200–24.

    Google Scholar 

  2. Drummond MF, Sculpher MJ, Torrance GW, O’Brien BJ, Stoddart GL. Methods for the economic evaluation of health care programmes. 3rd ed. Oxford: Oxford University Press; 2007.

    Google Scholar 

  3. McCrone P, Weich S. Mental health care costs: paucity of measurement. Soc Psychiatry Psychiatr Epidemiol. 1996;31(2):70–7.

    Article  CAS  PubMed  Google Scholar 

  4. Golding JM, Gongla P, Brownell A. Feasibility of validating survey self-reports of mental health service use. Am J Community Psychol. 1988;16(1):39–51.

    Article  CAS  PubMed  Google Scholar 

  5. van den Brink M, van den Hout WB, Stiggelbout AM, van de Velde CJ, Kievit J. Cost measurement in economic evaluations of health care: whom to ask? Med Care. 2004;42(8):740–6.

    Article  PubMed  Google Scholar 

  6. Beecham J. Collecting and estimating costs. In: Knapp M, editor. The economic evaluation of mental health care. 1st ed. Aldershot: Arena; 1995. p. 61–82.

    Google Scholar 

  7. Byford S, Sefton T. Economic evaluation of complex health and social care interventions. Natl Inst Econ Rev. 2003;186:98–108.

    Article  Google Scholar 

  8. Byford S, McDaid D, Sefton T. Because it’s worth it: a practical guide to conducting economic evaluations in the social welfare field. London: York Publishing Services Ltd; 2003.

    Google Scholar 

  9. Shearer J, McCrone P, Romeo R. Economic evaluation of mental health interventions: a guide to costing approaches. Pharmacoeconomics. 2016;34(7):651–64.

    Article  PubMed  Google Scholar 

  10. Byford S, Leese M, Knapp M, Seivewright H, Cameron S, Jones V, et al. Comparison of alternative methods of collection of service use data for the economic evaluation of health care interventions. Health Econ. 2007;16(5):531–6.

    Article  PubMed  Google Scholar 

  11. Evans C, Crawford B. Data collection methods in prospective economic evaluations: how accurate are the results? Value Health. 2000;3(4):277–86.

    Article  CAS  PubMed  Google Scholar 

  12. Chisholm D, Knapp MKH, Amaddeo F, Gaite L, Winjgaarden B. Client socio-demographic service receipt inventory European version: development of one instrument for international research. Br J Psychiatry. 2000;177(39):s28–33.

    Article  Google Scholar 

  13. Mirandola M, Bisoffi G, Boso M, Amaddeo F. Collecting psychiatric resources utilisation to calculate costs of care: a comparison between a service receipt interview and a case register. Soc Psychiatry Psychiatr Epidemiol. 1999;34:541–7.

    Article  CAS  PubMed  Google Scholar 

  14. Patel A, Rendu A, Moran P, Leese M, Mann A, Knapp M. A comparison of two methods of collecting economic data in primary care. Fam Pract. 2005;22:323–7.

    Article  PubMed  Google Scholar 

  15. Leggett LE, Khadaroo RG, Holroyd-Leduc J, Lorenzetti DL, Hanson H, Wagg A, et al. Measuring resource utilization: a systematic review of validated self-reported questionnaires. Medicine (Baltimore). 2016;95(10):e2759.

    Article  Google Scholar 

  16. Heinrich S, Deister A, Birker T, Hierholzer C, Weigelt I, Zeichner D, et al. Accuracy of self-reports of mental health care utilization and calculated costs compared to hospital records. Psychiatry Res. 2011;185(1–2):261–8.

    Article  PubMed  Google Scholar 

  17. Goossens M, Molken M, Vlaeyen J, Linden S. The cost diary: a method to measure direct and indirect costs in cost-effectiveness research. J Clin Epidemiol. 2000;53:688–95.

    Article  CAS  PubMed  Google Scholar 

  18. Sousa A, Cardoso A, Oliveira G, Mari J, Razzouk D. Standardized tool for measurement of health services costs and utilization in a sample with mental disorders: translation, cultural adaptation and interrater reliability of the client sociodemografic and service receipt inventory Brazilian version. Value Health Reg Issues. 2013;16:696.

    Article  Google Scholar 

  19. Rhodes AE, Fung K. Self-reported use of mental health services versus administrative records: care to recall? Int J Methods Psychiatr Res. 2004;13(3):165–75.

    Article  PubMed  Google Scholar 

  20. Roick C, Kilian R, Matschinger H, Bernert S, Mory C, Angermeyer M. German adaptation of the client sociodemographic and service receipt inventory :an instrument for the cost of mental health care. Psychiatr Prax. 2001;28:S84–90.

    Article  Google Scholar 

  21. Amaddeo F, Bonizzatto P, Fenyo A, Tansella KM. ICAP Un’intrevista per la raccolta dei dati necessari per la valutazione dei costi dell’assistenza psichiatrica. Epidemiol Psichiatr Soc. 1996;5:201–14.

    Article  Google Scholar 

  22. Haro JM, Salvador-Carulla L, Cabases J, Madoz V, Vazquez-Barquero JL. Utilisation of mental health services and costs of patients with schizophrenia in three areas of Spain. Br J Psychiatry. 1998;173:334–40.

    Article  CAS  PubMed  Google Scholar 

  23. Timman R, Bouwmans C, Busschbach JJ, Hakkaart-van RL. Development of the treatment inventory of costs in psychiatric patients: TIC-P mini and midi. Value Health. 2015;18(8):994–9.

    Article  PubMed  Google Scholar 

  24. Bouwmans C, De JK, Timman R, Zijlstra-Vlasveld M, Feltz-Cornelis C, Tan SS, et al. Feasibility, reliability and validity of a questionnaire on healthcare consumption and productivity loss in patients with a psychiatric disorder (TiC-P). BMC Health Serv Res. 2013;13:217.

    Article  PubMed Central  Google Scholar 

  25. Sabes-Figueira R, McCrone P, Sharac J, Csipke E, Craig T, Rose D, et al. Developing a tool for collecting and costing activity data on psychiatric inpatient wads. Epidemiol Psychiatr Sci. 2012;21:393–9.

    Article  Google Scholar 

  26. Thompson S, Wordsworth S. An annotated cost questionnaire for completion by patients. HERU Discussion Paper No. [03/01]. Health Economics Research Unit, University of Aberdeen. Health Economics Research Unit, University of Aberdeen; 2017.

    Google Scholar 

  27. Wordsworth S, Hompson S. An annotated cost questionnaire for patients: results of piloting. HERU Dicussion paper, 2001, Discussion Paper 03/01; 2001.

    Google Scholar 

  28. Barrett B, Byford S. Collecting service use data for economic evaluation in DSPD populations: development of the secure facilities service use schedule. Br J Psychiatry Suppl. 2007;49:s75–8.

    Article  PubMed  Google Scholar 

  29. Sirey JA, Meyers BS, Teresi JA, Bruce ML, Ramirez M, Raue PJ, et al. The Cornell service index as a measure of health service use. Psychiatr Serv. 2005;56(12):1564–9.

    Article  PubMed  Google Scholar 

  30. Kashner TM, Stensland MD, Lind L, Wicker A, Rush AJ, Golden RM, et al. Measuring use and cost of care for patients with mood disorders: the utilization and cost inventory. Med Care. 2009;47(2):184–90.

    Article  PubMed  Google Scholar 

  31. Ritter PL, Stewart AL, Kaymaz H, Sobel DS, Block DA, Lorig KR. Self-reports of health care utilization compared to provider records. J Clin Epidemiol. 2001;54(2):136–41.

    Article  CAS  PubMed  Google Scholar 

  32. Petrou S, Murray L, Cooper P, Davidson LL. The accuracy of self-reported healthcare resource utilization in health economic studies. Int J Technol Assess Health Care. 2002;18(3):705–10.

    Article  PubMed  Google Scholar 

  33. Becker T, Hulsmann S, Knudsen HC, Martiny K, Amaddeo F, Herran A, et al. Provision of services for people with schizophrenia in five European regions. Soc Psychiatry Psychiatr Epidemiol. 2002;37(10):465–74.

    Article  CAS  PubMed  Google Scholar 

  34. Mateus MD, Mari JJ, Delgado PG, Almeida-Filho N, Barrett T, Gerolin J, et al. The mental health system in Brazil: policies and future challenges. Int J Ment Heal Syst. 2008;2(1):12.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Aglae Sousa .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Sousa, A., Razzouk, D. (2017). Economic Data Collection: Instruments for Measuring Health Service Use and Direct Health Costs The Bottom-Up Approach. In: Razzouk, D. (eds) Mental Health Economics. Springer, Cham. https://doi.org/10.1007/978-3-319-55266-8_13

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-55266-8_13

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-55265-1

  • Online ISBN: 978-3-319-55266-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics