Development of an Instrument to Collect Health Care Resource use Data in the Context of Rehabilitation

作者：Brach M; Sabariego C^*; Stuckl G

来源：Physikalische Medizin Rehabilitationsmedizin Kurortmedizin, 2010, 20(5): 256-261.

DOI：10.1055/s-0030-1261887

• health resource use
• data collection
• cost measure
• rehabilitation
• economic evaluation

Purpose: The objective of this paper is to describe the development of an instrument to collect health resource utilization data in rehabilitation research and to discuss lessons learned.
Materials and Methods: The questionnaire was developed to collect data about health resource use aiming at the alongside economic evaluations of 5 rehabilitation studies. Considering the health condition of study patients, the specific questions of associated studies and the methodological standards proposed by the "Working Group Methods in Health Economic Evaluation" (MEA), it was decided which health resource use components should be part of the questionnaire and which recall period would be adequate. Health resource use information was assessed in order to calculate direct medical, direct non medical and indirect costs.
Results: The standardized self-administered retrospective health resource use assessment questionnaire was answered by a total of 1 042 subjects with one of the following indications: osteoarthritis, osteoporosis, back pain, cancer, fibromyalgia or brain/cranial traumata.
Discussion: Although the questionnaire was adapted for each rehabilitation study, it could be learned that the development of a standardized general brief questionnaire to collect health resource use with fixed cost categories is of fundamental importance in order to facilitate comparability across indications and studies in rehabilitation.
Conclusions: The instrument to collect health resource utilization provided enough information to calculate direct medical, direct non medical and indirect costs. The core version omitting disease-specific aspects could serve as a starting point towards a standardized and validated, general, self-administered questionnaire suitable for alongside comparative economic evaluations in rehabilitation.

• 出版日期2010-10