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Table 1 Cost determinants and unit prices

From: Cost-effectiveness analysis of case management for optimized antithrombotic treatment in German general practices compared to usual care – results from the PICANT trial

Resource category

Unit prices in € (year)

Units

Measurement

Direct health care costs

 Outpatient servicesa

 

Consultations per quarter

Patient questionnaire

  general practitioner

19.07 (2012), 29.07 (2013), 29.48 (2014/2015)

  

  cardiologist

90.46 (2012/2013), 91.73 (2014/2015)

  

  neurologist

23.30 (2012/2013), 23.63 (2014/2015)

  

 Outpatient laboratory testsa

0.60 (2012–2015)

Consultations per quarter

Case report form

 Outpatient prescription of antithrombotic medicationsb

 

per quarter

Case report form

  phenprocoumon

16.06 (2012–2015)

  

  warfarin

16.10 (2012–2015)

  

  dabigatran

267.90 (2012–2015)

  

  rivaroxaban

291.79 (2012–2015)

  

  apixaban (2.5 mg)

81.48 (2012–2015)

  

  apixaban (5 mg)

271.00 (2012–2015)

  

  acetylsalicylic acid

0.00 (2012–2015)

  

 Medical devicesb

 

per unit

Case report form/patient questionnaire

  compression therapy

41.42 (2012–2015)

  

  patient self-testing INR

203.50 (2012–2015)

  

 Hospital carec

depending on diagnosis and length of stay

per stay

Case report form/attachment of anonymized copies of hospital discharge letters including diagnosis and length of stay

 Inpatient rehabilitationd,e

121.85 (2012–2015)

per day

Case report form/attachment of anonymized copies of discharge letters

 Outpatient rehabilitationd

46.68 (2012–2015)

per day

Case report form/patient questionnaire

 Sick-pay (transfer payments)f

depending on insuree’s monthly gross earnings

per day

Patient questionnaire

 (Loss of) contributions to statutory social securitiesf

depending on insuree’s monthly gross earnings

per day

Patient questionnaire

Intervention only

 Costs of training and conducting of case management

  

Case Management questionnaire

  GPg

54.62 (2012–2015)

per working hour

 

  HCAg

15.25 (2012–2015)

per working hour

 
  1. aCalculations based on the physicians’ fee scale (Uniform Value Scale – EBM) [55, 56]
  2. bPrices were taken from Lauer-Taxe® pharmaceutical price information [57]
  3. cCalculated on the basis of the official German Diagnoses Related Groups (DRG) reimbursement (2013) [58]
  4. dPrices were taken from Bock et al. [59]
  5. eAccording to the German Social Code Book VI, the statutory pension insurance covers rehabilitation services of insured employees. Amongst others, this regulation does not apply to retirees
  6. fAccording to the German Social Code Book V, the SHI covers 70% of the insuree’s monthly gross earnings after 6 weeks of incapacity for work. For the first 6 weeks, the employer continues to pay the salary. During the period of incapacity for work, the health fund also covers 50% of the insuree’s contributions to other statutory insurance programs (pension, long-term care, unemployment and occupational accident). The insuree does not have to pay contributions to SHI during this period. There are several exceptions to these regulations, especially for retirees
  7. gPrices were taken from the income survey of the German Federal Statistical Office [60]
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Health Economics Review

ISSN: 2191-1991

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