136 CHAPTER 6 Category Cost (€) Costs made outside tertiary carea Visit at the general practitioner: 35.24b General practitioner consultation by telephone: 18.15b General practitioner house call: 53.40b Outpatient clinic secondary care: 85.43b Hospital stay secondary care: 462.51b Psychologist/h: 100.39b Transport (distances and parking tariffs)g Transport costs: 0.20/km Patient’s house, apothecary: 0.49km Patient’s house, general practitioner: 0.42km Patient’s house, secondary care hospital: 2.66km Patient’s house, tertiary-care hospital: varied Parking costs at the tertiary-care hospital: 8.47 Parking costs secondary care hospital: 3.18 Absence of workg Adult: average productivity costs/h: 37.11b Child: unknown Reference prices for health care resources from a Dutch guideline on economic analyses in health care were used when applicable.17,18 Medication costs outside the hospital were estimated by using the average price per prescription line or the price for standard packages in the case of over-the-counter medication (Medicijnkosten. nl). aDirect costs, which include costs for outpatient appointments, medication, visits to the general practitioner or local hospitals, the surgical procedure, material, and visits to day clinics. bPrices are corrected for the Dutch consumer price index of 2019. cOperation room costs without average material costs, original price between brackets. The operation room team consists of three operation room workers and an anaesthesiologist. dIncluding 6% taxes for medical material. ePrice includes 50IE Botox. fBasic apothecary prices per prescription; this price is combined with the price for each prescribed drug (source: www.medicijnkosten.nl). gIndirect costs, which include costs incurred by patients or caregivers for transportation, childcare, and sick leave. Data on health care use were collected from visits to our outpatient clinic, hospital records, and the cost diary. During follow-up measurements, patients were asked whether there had been consultations or admissions outside our clinic, and whether there were any changes in medication. Reference prices for resources from a Dutch guideline on economic analyses in health care were used when
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