Cost of childhood acute otitis media in primary care in the Netherlands: economic analysis alongside a cluster randomised controlled trial

van Uum, Rick T.; Venekamp, Roderick P.; Pasmans, Clémence T. B.; de Wit, G. Ardine; Sjoukes, Alies; van der Pol, Alma C.; Damoiseaux, Roger A. M. J.; Schilder, Anne G. M.

doi:10.1186/s12913-021-06157-1

TABLE 1 UNIT COSTS

From: Cost of childhood acute otitis media in primary care in the Netherlands: economic analysis alongside a cluster randomised controlled trial

Resources	Unit	Cost estimate		Source
Resources	Unit	€	$^§	Source
Health care costs
Direct costs
GP consultation	consultation	33.76	38.11	ZIN guideline
GP home visit	consultation	51.16	57.75	ZIN guideline
GP telephone	consultation	17.39	19.63	ZIN guideline
OPD visit	visit	81.85	92.39	ZIN guideline
ED visit	visit	264.99	299.10	ZIN guideline
Admission	day	453.25	511.59	ZIN guideline
Pharmacist fee	prescription	12.28	13.86	ZIN guideline
Prescription medication
Antibiotics
Amoxicillin	prescription^†	3.43	3.87	www.medicijnkosten.nl
Amoxicillin-clavulanate	prescription^†	3.43	3.87	www.medicijnkosten.nl
Azitromycin	prescription^†	3.97	4.48	www.medicijnkosten.nl
Cotrimoxazole	prescription^†	2.81	3.17	www.medicijnkosten.nl
Clarithromycin	prescription^†	9.51	10.73	www.medicijnkosten.nl
Ear drops
Otalgan®	bottle	10.99	12.40	www.medicijnkosten.nl
Sofradex®	bottle	10.56	11.92	www.medicijnkosten.nl
Ofloxacin	bottle	0.50	0.56	www.medicijnkosten.nl
Bacicoline B drops	bottle	14.70	16.59	www.medicijnkosten.nl
Intervention costs^‡	patient	50.85	57.40	collective labour agreement for GPs
Patient and family costs
Travel expenses
Fuel costs	kilometer	0.19	0.21	ZIN guideline
Parking costs	visit	3.07	3.47	ZIN guideline
Over-the-counter medication
Paracetamol	1000 mg	1.41	1.59	www.medicijnkosten.nl
Ibuprofen	1000 mg	2.50	2.82	www.medicijnkosten.nl
Otalgan®	bottle	10.99	12.40	www.medicijnkosten.nl
Xylometazoline nasal spray	bottle	2.08	2.35	retail prices**
Otrivin® nasal spray	bottle	4.59	5.18	retail prices**
Sodium chloride nasal spray	bottle	2.95	3.33	retail prices**
Complementary medicine*	bottle	4.95–14.35	5.59–16.20	retail prices**
Cough syrup	bottle	10.95	12.36	retail prices**
Childcare costs	one hour	14.32	16.16	ZIN guideline
Productivity loss
Productivity costs father	one hour	38.78	43.77	iPCQ questionnaire
Productivity costs mother	one hour	32.33	36.49	iPCQ questionnaire
Unpaid work	one hour	14.32	16.16	iPCQ questionnaire

ED: emergency department; GP: general practitioner, iPCQ: iMTA Productivity Cost Questionnaire, mg: milligrams, OPD: out-patient department; ZIN: Zorginstituut Nederland (Netherlands Health Institute)
^§ currency conversion as of July 6th, 2020 (1 euro = 1.12872 USD, www.xe.com/ucc)
^† one or two units per patient, depending on weight
^‡ calculated as one-hour GP wage costs (time spent on the training) times the number of GPs in intervention group times printing costs, divided the number of patients included in the intervention group
* full display of prices of specific complementary medicine products is available online in Supplement Table 1
** prices are based on retail prices of the most used retailers in the Netherlands: Albert Heijn, Etos, Kruidvat and DA. Available from www.ah.nl, www.kruidvat.nl and www.da.nl

Back to article page

ISSN: 1472-6963

Contact us

General enquiries: journalsubmissions@springernature.com

BMC Health Services Research

Contact us