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Development of an instrument for the assessment of health-related multi-sectoral resource use in Europe: the PECUNIA RUM

Author

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  • Pokhilenko, Irina
  • Janssen, Luca M.M.
  • Paulus, Aggie T.G.
  • Drost, Ruben M.W.A.
  • Hollingworth, William
  • Thorn, Joanna
  • Noble, Sian
  • Simon, Judit
  • Fischer, Claudia
  • Mayer, Susanne
  • Salvador-Carulla, Luis
  • Konnopka, Alexander
  • Hakkaart-van Roijen, Leona
  • Brodszky, Valentin
  • Park, A. La
  • Evers, Silvia M.A.A.

Abstract

Background: Measuring objective resource-use quantities is important for generating valid cost estimates in economic evaluations. In the absence of acknowledged guidelines, measurement methods are often chosen based on practicality rather than methodological evidence. Furthermore, few resource-use measurement (RUM) instruments focus on the measurement of resource use in multiple societal sectors and their development process is rarely described. Thorn and colleagues proposed a stepwise approach to the development of RUM instruments, which has been used for developing cost questionnaires for specific trials. However, it remains unclear how this approach can be translated into practice and whether it is applicable to the development of generic self-reported RUM instruments and instruments measuring resource use in multiple sectors. This study provides a detailed description of the practical application of this stepwise approach to the development of a multi-sectoral RUM instrument developed within the ProgrammE in Costing, resource use measurement and outcome valuation for Use in multi-sectoral National and International health economic evaluAtions (PECUNIA) project. Methods: For the development of the PECUNIA RUM, the methodological approach was based on best practice guidelines. The process included six steps, including the definition of the instrument attributes, identification of cost-driving elements in each sector, review of methodological literature and development of a harmonized cross-sectorial approach, development of questionnaire modules and their subsequent harmonization. Results: The selected development approach was, overall, applicable to the development of the PECUNIA RUM. However, due to the complexity of the development of a multi-sectoral RUM instrument, additional steps such as establishing a uniform methodological basis, harmonization of questionnaire modules and involvement of a broader range of stakeholders (healthcare professionals, sector-specific experts, health economists) were needed. Conclusion: This is the first study that transparently describes the development process of a generic multi-sectoral RUM instrument in health economics and provides insights into the methodological aspects and overall validity of its development process.

Suggested Citation

  • Pokhilenko, Irina & Janssen, Luca M.M. & Paulus, Aggie T.G. & Drost, Ruben M.W.A. & Hollingworth, William & Thorn, Joanna & Noble, Sian & Simon, Judit & Fischer, Claudia & Mayer, Susanne & Salvador-Ca, 2023. "Development of an instrument for the assessment of health-related multi-sectoral resource use in Europe: the PECUNIA RUM," LSE Research Online Documents on Economics 117961, London School of Economics and Political Science, LSE Library.
    • Handle: RePEc:ehl:lserod:117961
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    References listed on IDEAS

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    1. Severens, Johan L. & Mulder, Jan & Laheij, Robert J. F. & Verbeek, André L. M., 2000. "Precision and accuracy in measuring absence from work as a basis for calculating productivity costs in The Netherlands," Social Science & Medicine, Elsevier, vol. 51(2), pages 243-249, July.
    2. Joanna Thorn & Joanna Coast & David Cohen & William Hollingworth & Martin Knapp & Sian Noble & Colin Ridyard & Sarah Wordsworth & Dyfrig Hughes, 2013. "Resource-Use Measurement Based on Patient Recall: Issues and Challenges for Economic Evaluation," Applied Health Economics and Health Policy, Springer, vol. 11(3), pages 155-161, June.
    3. Drummond, Michael F. & Sculpher, Mark J. & Claxton, Karl & Stoddart, Greg L. & Torrance, George W., 2015. "Methods for the Economic Evaluation of Health Care Programmes," OUP Catalogue, Oxford University Press, edition 4, number 9780199665884, Decembrie.
    4. Claudia Fischer & Susanne Mayer & Nataša Perić & Judit Simon, 2022. "Harmonization issues in unit costing of service use for multi-country, multi-sectoral health economic evaluations: a scoping review," Health Economics Review, Springer, vol. 12(1), pages 1-13, December.
    5. Sarah Byford & Morven Leese & Martin Knapp & Helen Seivewright & Susan Cameron & Vanessa Jones & Kate Davidson & Peter Tyrer, 2007. "Comparison of alternative methods of collection of service use data for the economic evaluation of health care interventions," Health Economics, John Wiley & Sons, Ltd., vol. 16(5), pages 531-536, May.
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    1. Kirsty M. Garfield & Gail A. Thornton & Samantha Husbands & Ailsa Cameron & William Hollingworth & Sian M. Noble & Paul Roy & Joanna C. Thorn, 2024. "Identification and prioritisation of items for a draft participant-reported questionnaire to measure use of social care, informal care, aids and adaptations," PharmacoEconomics - Open, Springer, vol. 8(3), pages 431-443, May.

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    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • M20 - Business Administration and Business Economics; Marketing; Accounting; Personnel Economics - - Business Economics - - - General

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