Center for Health Policy and Research (CHPR) Publications

Title

Measuring resource use in economic evaluations: determining the social costs of mental illness

UMMS Affiliation

Department of Family Medicine and Community Health; Center for Health Policy and Research; Clinical and Population Health Research

Date

1-1-1994

Document Type

Article

Medical Subject Headings

*Cost of Illness; Cost-Benefit Analysis; Data Collection; Health Services Research; Humans; Mental Disorders; Mental Health Services; Reproducibility of Results; Social Values; United States; Utilization Review

Disciplines

Health Services Administration | Health Services Research | Public Health

Abstract

Concern over costs associated with mental disorders has led to an increase in the number of economic evaluations of treatment interventions; unfortunately, methods for measuring resource use have not kept pace with this concern. Although it is well-known that a significant proportion of the costs associated with mental illness are for resources other than treatment, program evaluators and researchers often count only treatment costs in cost-effectiveness comparisons. Further, existing methods for measuring resource use are plagued by faulty assumptions about resource use, poor validity and reliability, and difficulties quantifying resource use. The authors discuss these problems and suggest five ways of improving measurement of nontreatment resources: clarifying assumptions, using multiple data sources, flexible data collection strategies, methods for improving the accuracy of recall, and an episodic approach to measurement.

Rights and Permissions

Citation: J Ment Health Adm. 1994 Winter;21(1):32-41.

Related Resources

Link to Article in PubMed