Table 1 Checklist of health outcomes and costs included under payer’s perspective as per the Impact Inventory Template given by Second Panel on Cost-Effectiveness in Health and Medicine
Type of Impact (list category within each sector with unit of measure if relevant) | Included in This Base Case Analysis From payer’s perspective (Yes/No) |
|---|---|
Health outcomes (effects) | |
 Longevity effects | Yes |
 Health-related quality-of-life effects | Yes |
 Other health effects (eg, adverse events and secondary transmissions of infections) | No |
Medical costs | |
 Paid for by third-party payers | Yes |
 Paid for by patients out-of-pocket | No |
 Future related medical costs (payers) | Yes |
 Future related medical costs (patients) | No |
 Future unrelated medical costs (payers) | No |
 Future unrelated medical costs (patients) | No |