Resource-use measurement based on patient recall: issues and challenges for economic evaluation. The exchangeability of self-reports and administrative health care resource use measurements: assessement of the methodological reporting quality. 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.

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. The selected development approach was, overall, applicable to the development of the PECUNIA RUM. 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. 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.įor the development of the PECUNIA RUM, the methodological approach was based on best practice guidelines. 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.

Thorn and colleagues proposed a stepwise approach to the development of RUM instruments, which has been used for developing cost questionnaires for specific trials. 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. In the absence of acknowledged guidelines, measurement methods are often chosen based on practicality rather than methodological evidence. Measuring objective resource-use quantities is important for generating valid cost estimates in economic evaluations. 14 Trimbos Institute National Institute of Mental Health and Addiction, Utrecht, The Netherlands.13 Department of Health Policy, Care Policy and Evaluation Centre, London School of Economics and Political Science, London, UK.12 Department of Health Policy, Corvinus University of Budapest, Budapest, Hungary.11 Erasmus School of Health Policy and Management, Erasmus University of Rotterdam, Rotterdam, The Netherlands.10 Department of Health Economics and Health Services Research, University Medical Center Hamburg, Hamburg, Germany.9 School of Public Health, Menzies Centre for Health Policy, University of Sydney, Sydney, NSW, Australia.8 Mental Health Policy Unit, Faculty of Health, Health Research Institute, University of Canberra, Canberra, ACT, Australia.7 Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK.6 Department of Health Economics, Center for Public Health, Medical University of Vienna, Vienna, Austria.5 Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.4 School of Health Professions Education (SHE), Faculty of Health, Medicine and Life Sciences (FHML), Maastricht University, Maastricht, The Netherlands.3 Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences (FHML), Maastricht University, Maastricht, The Netherlands. 2 Health Economics Unit, Institute of Applied Health Research, University of Birmingham, Birmingham, UK. 1 Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences (FHML), Maastricht University, Maastricht, The Netherlands.

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