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Table 2 Overview of cost measures

From: Rationale and protocol for estimating the economic value of a multicomponent quality improvement strategy for diabetes care in South Asia

Type of cost

Level

Expense type

Cost component

Means of collection

Timing of collection

Source of data

Direct

Intervention

Fixed cost

Software development

Trial records

After completion of software development

Developers of software: DS-EHR

Fixed cost

Training of physicians and care coordinators

Trial records

After completion of training

Trial Team

Fixed cost

Laptop

Trial records

Baseline (at the start of the trial)

Trial records

Fixed cost

Mobile phone

Trial records

Baseline (at the start of the trial)

Trial records

Variable cost

Care coordinator’s salary

Trial records

Monthly

Payment invoice

Variable cost

Three-monthly laboratory tests

Interview with patients

Annual

Self-reported by patient

Variable cost

Internet

Trial records

Annual

Payment invoice

Variable cost

Communication cost

Trial records

Annual

Payment invoice

Fixed cost

Software maintenance

Trial records

Annual

Payment invoice

Clinic/Hospital

Variable cost

Physician’s time

Interview with patients and physicians

Annual

Self-reported by physicians

Variable cost

Resource use for patient management: telephone calls, letters, team meetings

Interview with physicians and hospital administrators

Annual

Self-reported by administrators

Patient

Variable cost

Medications

Interview with patients + Trial eCRF

Annual

Self-reported by patient in eCRF

Variable cost

Medical supplies (glucose strips, gauze, sterile solution, etc.)

Interview with patients + Trial eCRF

Annual

Self-reported by patient in eCRF

Variable cost

Laboratory tests

Interview with patients + Trial eCRF

Annual

Self-reported by patient in eCRF

Variable cost

Diagnostics

Interview with patients + Trial eCRF

Annual

Self-reported by patient in eCRF

Variable cost

Preventative screening (ECG, eye exam, foot exam, dental exam, etc.)

Interview with patients + Trial eCRF

Annual

Self-reported by patient in eCRF

Variable cost

Outpatient visits (consultation fee)

Interview with patients + Trial eCRF

Annual

Self-reported by patient in eCRF

Variable cost

Transportation

Interview with patients + Trial eCRF

Annual

Self-reported by patient in eCRF

Variable cost

Food (personal)

Interview with patients + Trial eCRF

Annual

Self-reported by patient in eCRF

Variable cost

Additional cost for escort

Interview with patients + Trial eCRF

Annual

Self-reported by patient in eCRF

Variable cost

Other out of pocket expenses

Interview with patients + Trial eCRF

Annual

Self-reported by patient in eCRF

Variable cost

In-patient hospitalization

Interview with patients + Trial eCRF

Annual

Self-reported by patient in eCRF

Variable cost

Procedures

Interview with patients + Trial eCRF

Annual

Self-reported by patient in eCRF

Indirect

Patient

Variable cost

Lost-productivity

Interview with patients + Trial eCRF

Annual

Self-reported by patient in eCRF

Variable cost

Work days lost due to out-patient visit

Interview with patients + Trial eCRF

Annual

Self-reported by patient in eCRF

Variable cost

Work days lost due to in-patient hospitalization

Interview with patients + Trial eCRF

Annual

Self-reported by patient in eCRF

Variable cost

loss of concentration

Interview with patients + Trial eCRF

Annual

Self-reported by patient in eCRF

Variable cost

loss of function (health utility index)

Interview with patients + Trial eCRF

Annual

Self-reported by patient in eCRF

  1. DS-EHR Decision-support Electronic Health Records, ECG Electrocardiogram, eCRF Electronic case report form