Element card for assessment element E0003 in HTA Core Model Application for Screening Technologies 1.0 application

E. Costs and economic evaluation

Unit costs

What are the unit costs of the resources used when delivering the assessed technology and its comparators?


Ideally unit cost estimates should be (proxies for) opportunity costs. By the opportunity cost is understood the value of the (lost) health gains that could have been achieved from an alternative technology, which, however, cannot be introduced or retained, because the resources e.g. manpower, are used on the new technology. Market prices or shadow prices (e.g. for voluntary work) are often used as proxies for opportunity costs. Also costs caused by a false negative or false positive screening test result should be included.

Market prices, companies, hospital accounting systems, reimbursement databases, micro level costing studies/ABC-costing studies


Guidelines for economic evaluation of Health Technologies: Canada, 3rd edition, 2006, Guidelines for Pharmacoeconomic Evaluations in Belgium, 2008