Letter

Letter to the Editor: The Basis for Calculating Costs in Health Technologies Assessment Studies

Abstract

Health Technology Assessment (HTA) is a multidisciplinary activity that acts as a "bridge" between evidence and policymaking. HTA investigates the application of health technology (e.g. medicine, medical equipment, or clinical/surgical procedures) in terms of safety, clinical efficacy and effectiveness, cost, cost-effectiveness, organizational outcomes, social outcomes, legal and ethical considerations (1).

Due to rising health expenditures, limitation of health budgets, and various effects that health technology can have on different costs, nowadays examining the costs of technologies is one of the most important topics of the HTA studies. In the health economics literature, it is known as 'economic evaluation' (2). Having an appropriate base to calculate the costs or choosing the appropriate type(s) of cost(s) or choosing a costing approach, is of crucial importance for accuracy of calculations (3).

Given that during the recent years, HTA has become the main focus of decisions about the entrance of new technologies to the country and its role in policies related to the compensation of providers and insurance coverage for technologies, and since various types of cost-related phrases are using in the health systems (i.e. price, cost or tariff), these words should be carefully considered to provide an appropriate base for HTA studies.

1. World Health Organization. Health technology assessment of medi cal devices. Geneva, Switzerland: World Health Organization; 2011.
2. Farid SF. Conceptual framework of the impact of health tech nology on healthcare system. Front Pharmacol. 2019;10:933. doi:10.3389/fphar.2019.00933. [PubMed:31551764]. [PubMed Central:PMC6733916].
3. Davari M, Walley T, Haycox A. Health technology assessment programme for Iran; a luxury or real need? Health Inf Manage. 2014;10(6):887-900.
4. Velasco M, Perleth M, Drummond M, Gurtner F, Jorgensen T, Jovell A, et al. Best practice in undertaking and reporting health tech nology assessments. Working group 4 report. Int J Technol Assess Health Care. 2002;18(2):361-422. doi:10.1017/s0266462302000284. [PubMed:12053427].
5. Mathes T, Jacobs E, Morfeld JC, Pieper D. Methods of international health technology assessment agencies for economic evalua tions--A comparative analysis. BMC Health Serv Res. 2013;13:371. doi:10.1186/1472-6963-13-371. [PubMed:24079858]. [PubMed Central:PMC3849629].
6. Drummond M, Brandt A, Luce B, Rovira J. Standardizing meth odologies for economic evaluation in health care. Practice, prob lems, and potential. Int J Technol Assess Health Care. 1993;9(1):26- 36. doi:10.1017/s0266462300003007. [PubMed:8423113].
7. Friedman M. Price Theory. London, England: Aldine Publishing Company; 2007.
8. Gershlick B. Best practice tariffs: Country background note: United Kingdom (England). London, England: The Health Foundation; 2016.
9. Kahn C. Words matter: defining hospital charges, costs and pay ments-and the numbers that matter most to co. USA: Federation of American Hospitals; 2015; Available from: https://www.fah. org/blog/words-matter-defining-hospital-costs-payments-and charges-and-the-numbers-t.
10. Macario A. What does one minute of operating room time cost? J Clin Anesth. 2010;22(4):233-6. doi:10.1016/j.jclinane.2010.02.003. [PubMed:20522350].
11. Adomakoh S. A review of hospital costing studies in the eastern ca ribbean Washington, United States: Pan American Health Orga nization 2001.
12. Participants of the Cost of Blood Consensus Conference. The cost of blood: multidisciplinary consensus conference for a standard methodology. Transfus Med Rev. 2005;19(1):66-78. doi:10.1016/j. tmrv.2004.09.005. [PubMed:15830329].
13. Akbari Sari A, Ravaghi H, Mobinizadeh M, Sarvari S. The cost utility analysis of PET-Scan in diagnosis and treatment of non small cell lung carcinoma in Iran. Iran J Radiol. 2013;10(2):61-7. doi:10.5812/iranjradiol.8559. [PubMed:24046780]. [PubMed Central:PMC3767016.
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DOI https://doi.org/10.18502/htaa.v4i3.6344
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How to Cite
1.
Hamouzadeh P, Sadrollahi A, Yousefvand M. Letter to the Editor: The Basis for Calculating Costs in Health Technologies Assessment Studies. Health Tech Ass Act. 2021;4(3).