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Guidance for cost definition and harmonization

Guidelinevalidated✓ Source-grounded

This guideline provides clear definitions and standardized methods for calculating healthcare costs in economic evaluations within the European Union. It aims to improve consistency and comparability across studies.

At a glance

Use when

Conducting economic evaluations in EU countries, especially for cross-national comparisons or joint HTA submissions

Avoid when

Working outside the EU context without local validation; when detailed bottom-up costing is not feasible due to data constraints

Inputs

Healthcare resource use data, unit costs, cost categories, national and regional pricing sources

Outputs

Standardized cost estimates, harmonized cost accounting frameworks, consistent cost reporting structures

How it works

The document outlines principles, criteria, and procedures for costing in economic evaluations, focusing on harmonizing cost accounting methodologies across EU member states. It covers cost definitions, resource use valuation, and methodological standards to support robust and comparable economic assessments.

Project
IMPACT HTA
Funding
Horizon 2020
Project status
Completed 2021
HTA domains
Costs & Economic Evaluation
Technology
Non-specific
Assumptions
Cost data can be meaningfully compared across EU countries with appropriate adjustments; standardized definitions improve reliability and transferability of economic evaluations
Strengths
Promotes cross-country comparability; developed within a European HTA collaboration; based on systematic review and expert input; supports transparency and reproducibility
Limitations
May require adaptation to local contexts; does not cover all country-specific reimbursement systems in detail; limited guidance on non-healthcare sector costs
Also known as
Guidelines for Cost Definitions and Harmonization of Cost Accounting Methodologies for Economic Evaluation, Deliverable D3.2(part 2)

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