caa a22 4500 445332484 CHVBK 20180317142741.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s10198-010-0257-z doi (NATIONALLICENCE)springer-10.1007/s10198-010-0257-z Olsson Tina School of Social Work and Institute for Evidence-Based Social Work Practice, National Board of Health and Welfare, Lund University, Box 117, 221 00, Lund, Sweden aut Comparing top-down and bottom-up costing approaches for economic evaluation within social welfare [Elektronische Daten] [Tina Olsson] This study compares two approaches to the estimation of social welfare intervention costs: one "top-down” and the other "bottom-up” for a group of social welfare clients with severe problem behavior participating in a randomized trial. Intervention costs ranging over a two-year period were compared by intervention category (foster care placement, institutional placement, mentorship services, individual support services and structured support services), estimation method (price, micro costing, average cost) and treatment group (intervention, control). Analyses are based upon 2007 costs for 156 individuals receiving 404 interventions. Overall, both approaches were found to produce reliable estimates of intervention costs at the group level but not at the individual level. As choice of approach can greatly impact the estimate of mean difference, adjustment based on estimation approach should be incorporated into sensitivity analyses. Analysts must take care in assessing the purpose and perspective of the analysis when choosing a costing approach for use within economic evaluation. Springer-Verlag, 2010 Cost comparison nationallicence Cost measurement nationallicence Economic evaluation nationallicence Methodology nationallicence Social work nationallicence The European Journal of Health Economics Springer-Verlag 12/5(2011-10-01), 445-453 1618-7598 12:5<445 2011 12 10198 https://doi.org/10.1007/s10198-010-0257-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10198-010-0257-z text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Olsson Tina School of Social Work and Institute for Evidence-Based Social Work Practice, National Board of Health and Welfare, Lund University, Box 117, 221 00, Lund, Sweden aut NATIONALLICENCE 773 0- The European Journal of Health Economics Springer-Verlag 12/5(2011-10-01), 445-453 1618-7598 12:5<445 2011 12 10198 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer