Table 2 The checklist with TDABC elements after the Delphi workshop
TDABC elements | Paper section | Researcher A | Researcher B | Consensus |
|---|---|---|---|---|
(#) 1.1 It is defined if the results are being explored for general health service management or redesign and value or only to assess costs? | Introduction | 5 | 5 | 5 |
(#)1.2 Is the clinical pathway, technology or procedure studied justified because of an interest from government, hospital, society or a Health Technology Assessment analysis? | Introduction | 5 | 5 | 5 |
(#)1.3 Are study limitations being presented? | Discussion | Element suggested by the participants of the Delphi workshop | 5 | |
(#)1.4 Is the TDABC method selection being justified? | Introduction | 5 | 3 | 3 |
(#) 2.1 Are authors using specific methodologies to design the care pathway? | Methods | 3 | 3 | 3 |
(#) 2.2 Are authors using a multidisciplinary team to apply the TDABC? (Design the process, correctly consider clinical characteristics, correctly evaluate costs.) | Methods | 5 | 5 | 5 |
(#) 2.3 Are authors reporting activities in the process map on a macro level? | Methods | 5 | 5 | 5 |
(#) 2.4 Are authors reporting activities in the process map on a micro level? | Methods | 2 | 2 | 2 |
(#) 2.5 Is the full process map (or a part of) being presented in a picture or graphic display? | Results | 3 | 4 | 4 |
(#) 3.1 Is a table or a map being presented to illustrate the association between activities and resources? | Results | 3 | 4 | 3 |
(#) 3.2 Are resources that are included in the analysis being defined and justified? | Methods | Element suggested by the participants of the Delphi workshop | 3 | |
(#) 3.3 Are authors reporting observation in-situ approach to better identify resources used in each activity? | Results | 5 | 3 | 4 |
(#) 3.4 Are authors interviewing the professionals to better identify resources used in each activity? | Results | 5 | 4 | 4 |
(#) 4.1 When using hospital financial database, it is being stated how those data were collected and analyzed? | Methods | 2 | 2 | 2 |
(#) 4.2 Are authors defining the currency and applying discount taxes when it is necessary? | Methods | Element suggested by the participants of the Delphi workshop | 4 | |
(#) 4.3 When using external financial databases, is there a description of the database and how those data were accessed? | Methods | 5 | 5 | 5 |
(#) 4.4 When mixed financial database data are being used (for example, salaries from external reference and structural costs from the hospital) is the origin of each data variable being stated? | Methods | 5 | 4 | 4 |
(#) 4.5 Did the authors explain how the overhead costs are being considered? | Methods | 3 | 3 | 3 |
(#) 5.1 Are authors defining if the capacity data used represents the total capacity per resource or it is being considered an expected idleness? | Methods | 5 | 5 | 5 |
(#) 5.2 When authors are considering an expected idleness, it is explained how actual performance data were collected and analyzed? | Methods | 3 | 4 | 3 |
(#) 6.1 Do authors explain how time data were collected? | Methods | 5 | 5 | 5 |
(#) 6.2 Are authors using interviews with professionals crossed with medical record review to estimate time data? | Methods | 5 | 4 | 4 |
(#) 6.3 When using chronanalysis, it is being explained how the sample of data was defined? | Methods | Element suggested by the participants of the Delphi workshop | 5 | |
(#) 6.4 Is it being explained if the chronanalysis used digital technology to collect real time data, such as a mobile app, wearable, drone, etc.? | Methods | Element suggested by the participants of the Delphi workshop | 4 | |
(#) 7.1 Is the median or average cost per patient (or per technology) being calculated? | Result and Discussion | 5 | 5 | 5 |
(*) 7.2 Are authors presenting the cost per each patient that is included in the sample? (Chart bar, table, etc.)? | Result and Discussion | 3 | 3 | 3 |
(*) 7.3 Is the median or average cost per activity on a macro level being presented? | Result and Discussion | 5 | 5 | 5 |
(*) 7.4 Is the median or average cost per activity on a micro level being presented? | Result and Discussion | 3 | 3 | 3 |
(*) 7.5 Is the median or average cost per resource being presented? | Result and Discussion | 3 | 4 | 3 |
(#*) 7.6 Are the authors performing capacity idleness analysis? | Result and Discussion | Element suggested by the participants of the Delphi workshop | 2 | |
(*) 7.7 Are the authors exploring statistical analyses to better understand costs along the process of care? | Result and Discussion | 3 | 3 | 3 |
(#*) 7.8 If the objective was to use the study to support management and value decisions, are authors reporting how value increasing was achieved or if they are planning to achieve it? | Result and Discussion | 5 | 5 | 5 |