Abstract
Cancer treatment and management have become increasingly economically burdensome. Consequently, to help with planning health service delivery, it is vital to understand the associated costs. Administrative databases can be used to help understand and generate real-world system-level costs. Using databases to generate costs can take one of two approaches: top-down or bottom-up. Top-down approaches disaggregate the total health care spending from a global health care budget by sector and provider. A bottom-up approach begins with individual-level health care use and its costs, which are then aggregated.
Highlights
Cancer treatment and management have become increasingly economically burdensome
To help with planning health service delivery, it is vital to understand the costs associated with cancer treatment
In Ontario, health care administrative databases allow for the construction of bottom-up approaches to calculate patient-level use of health care encounters
Summary
Cancer treatment and management have become increasingly economically burdensome. to help with planning health service delivery, it is vital to understand the associated costs. To help with planning health service delivery, it is vital to understand the costs associated with cancer treatment. Wodchis and colleagues[8] developed a method to compute individuallevel health care costs in the province of Ontario—hereinafter referred to as the Patient-Level Case Costing Methodology (plccm)—from data available in administrative databases. In the field of cancer care, the plccm does not allow for a robust estimate of the costs for the some of the key components of cancer treatment—namely, systemic chemotherapies or cancer-related supportive medications. It does not offer comprehensive information for radiation planning and treatment costs. The objectives of the present work were both to describe the structure of the two algorithms and to illustrate their application to a specific cancer cohort
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