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A pragmatic method for costing implementation strategies using time-driven activity-based costing.

Zuleyha Cidav1,2, David Mandell3,4, Jeffrey Pyne5,6,7,8

  • 1Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. zcidav@upenn.edu.

Implementation Science : IS
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PubMed
Summary
This summary is machine-generated.

This study introduces a practical method combining time-driven activity-based costing (TDABC) and the Proctor implementation science framework to estimate the costs of evidence-based practices. This approach offers transparent cost comparisons for implementation strategies.

Keywords:
CostingEconomic evaluationImplementation strategiesTime-driven activity-based costing

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Area of Science:

  • Implementation Science
  • Health Services Research
  • Health Economics

Background:

  • Implementation strategies are vital for adopting evidence-based practices but require significant resources.
  • Cost information for implementation strategies is often missing, hindering decision-making for budget-constrained organizations.
  • A lack of standardized costing methods impedes integrating cost evaluation into implementation effectiveness studies.

Purpose of the Study:

  • To present a pragmatic, systematic approach for estimating resource use and costs of implementation strategies.
  • To combine time-driven activity-based costing (TDABC) with the Proctor implementation science framework for detailed cost analysis.
  • To illustrate the application of this combined method using a case study.

Main Methods:

  • Employed time-driven activity-based costing (TDABC), a business accounting method, for process mapping.
  • Integrated TDABC with the Proctor implementation science framework to guide strategy specification and reporting.
  • Utilized a case study with synthetic data to demonstrate the method's application.

Main Results:

  • Developed a step-by-step method for mapping implementation processes, detailing actions, actors, and timing.
  • Enabled transparent and granular cost estimation, allowing for cost comparisons between different implementation strategies.
  • Provided insights into how specific strategy components impact overall costs, aiding researchers and stakeholders.

Conclusions:

  • Time-driven activity-based costing (TDABC) offers a practical approach for estimating costs of implementation strategies and their components.
  • Integrating TDABC with the Proctor framework facilitates cost estimation within implementation evaluations.
  • This combined method may reduce the burden of economic evaluations in implementation science.