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Comparing top-down and bottom-up costing approaches for economic evaluation within social welfare
School of Social Work and Institute for Evidence-Based Social Work Practice, National Board of Health and Welfare, Lund University, Lund, Sweden.ORCID iD: 0000-0002-7351-9140
2011 (English)In: European Journal of Health Economics, ISSN 1618-7598, E-ISSN 1618-7601, Vol. 12, no 5, p. 445-453Article in journal (Refereed) Published
Abstract [en]

This study compares two approaches to the estimation of social welfare intervention costs: one "topdown" and the other "bottom-up" for a group of social welfare clients with severe problem behavior participating in a randomized trial. Intervention costs ranging over a two-year period were compared by intervention category (foster care placement, institutional placement, mentorship services, individual support services and structured support services), estimation method (price, micro costing, average cost) and treatment group (intervention, control). Analyses are based upon 2007 costs for 156 individuals receiving 404 interventions. Overall, both approaches were found to produce reliable estimates of intervention costs at the group level but not at the individual level. As choice of approach can greatly impact the estimate of mean difference, adjustment based on estimation approach should be incorporated into sensitivity analyses. Analysts must take care in assessing the purpose and perspective of the analysis when choosing a costing approach for use within economic evaluation.

Place, publisher, year, edition, pages
Springer, 2011. Vol. 12, no 5, p. 445-453
Keywords [en]
Cost comparison, Cost measurement, Economic evaluation, Methodology, Social work, article, cost, economic aspect, health service, priority journal, prospective pricing, social welfare, Adolescent, Child, Costs and Cost Analysis, Cross-Sectional Studies, Humans, Mental Disorders, Sweden
National Category
Social Work Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hj:diva-58929DOI: 10.1007/s10198-010-0257-zISI: 000294218500006PubMedID: 20496157Scopus ID: 2-s2.0-80655148715OAI: oai:DiVA.org:hj-58929DiVA, id: diva2:1711440
Available from: 2022-11-17 Created: 2022-11-17 Last updated: 2022-11-17Bibliographically approved

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Olsson, Tina M.

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