Re-orientation of the Austrian parent-child preventive care programme. Part XII: Economic evaluation of selected screenings during pregnancy
& Anna Novelli
Duration: August - November 2016
Suggested by: Austrian Federal Ministry of Health and Women
Publication: HTA-Project report No. 91: http://eprints.hta.lbg.ac.at/1112/
Since 2010, the LBI-HTA developed a comprehensive basis for the “re-orientation of the Austrian parent-child preventive care programme”. Since 2014, a multi-professional task group in the ministry of health has been working on the assessment of international screening-recommendations during pregnancy to develop recommendations for Austria.
The LBI-HTA attended the appraisal process  and is actually summarising the results of the task force.
Aim of the project:
In addition to the overview of screening recommendations during pregnancy, an economic evaluation (budget-impact-analysis) of three screenings, which were chosen after consultation with the Ministry of Health, will be conducted. This information is supposed to be used as an additional basis for the decision of the stakeholder-group to potentially adapt the screenings to the parent-child preventive care programme.
1) What are the costs for a one-time TSH-test, screening a defined group for hypothyroidism during pregnancy  and which budget-impact can be expected?
2) What are the costs for a one-time urine test, screening all pregnant women for asymptomatic bacteriuria  using a dipstick and which budget-impact can be expected compared to the existing test?
3) What are the costs for a one-time (quality assured) ultrasound-screening for foetal anomaly  of pregnant women who have chosen this screening based on an informed decision and which budget-impact can be expected?
A) Study type of economic evaluation
For answering the research questions a budget-impact-analysis will be used.
The cost calculations will be performed from the perspective of public reimbursement authorities.
The calculations will be performed for a short time horizon of three years until the year 2019 plus for a time horizon of ten years until 2026.
F) Data used for calculation
The calculations will be based on the following cost data:
- For services of the social/health insurance(s): rates according to existing contracts
- For inpatient services: existing lump sums for the relevant services
- Missing data: prices from international studies
The relevant quantities of services will be based on:
- For the number of benefit recipients: epidemiologic data from the existing reports of the re-orientation of the parent-child preventive care programme and the register of births
Due to the short time horizon of the study, results will not be discounted.
H) Sensitivity analysis
Uncertain parameters will be optionally varied within the scope of simple (deterministic) sensitivity analyses.
Juli 2016: scoping
August-Oktober2016: drafting of the report
November 2016: internal and external review, layout
 Part X of the re-orientation of the parent-child preventive care programme: http://hta.lbg.ac.at/page/eltern-kind-vorsorge-neu-teil-x-nationaler-betreuungspfad-fuer-die-schwangerschaft-und-fruehe-kindheit/de
 Recommendations of the task group: http://www.bmgf.gv.at/cms/home/attachments/8/4/6/CH1101/CMS1452766692337/ergebnisprotokoll_6_fag_2015-03-24.pdf
 Recommendations of the task group: http://www.bmgf.gv.at/cms/home/attachments/8/4/6/CH1101/CMS1452766692337/ergebnisprotokoll_4_fag_20012015_final.pdf
 Recommendations of the task group: http://www.bmgf.gv.at/cms/home/attachments/8/4/6/CH1101/CMS1452766692337/ergebnisprotokoll_8_fag_2015_05_28.pdf