Table 1

Some major examples of direct and direct non-medical costs

Direct medical costs Direct non-medical costs
Inpatient hospital careCare provided by friends and family
Specialised hospital, terminal, or hospice careHousekeeping
Modifications to home for patient
Nursing homesSocial services
Institutional or home health careRetraining
Emergency roomsRepair to property (ie, alcoholism, etc)
Physician services
Primary care physicians
Programme monitoring and evaluation
Medical specialistsLaw enforcement costs
Other ancillary staffData analysis
 psychologists
 social workers
 physical and occupational therapists
 nutritionists
 volunteers
 ambulance workers
Medication use
 treating side effects
 preparation of drugs
 training in new procedures
 dispensing and administration
 monitoring
Overhead allocated to technology
 fixed cost of utilities
 space
 storage
 support services
 capital costs (depreciated over time)
 construction costs for facilities
 relocation costs
 device and equipment costs
Variable cost of utilities
Medication costs
 prescription and non-prescription costs
  drug costs
 monitoring costs
Research and development costs
Diagnostic test costs
Treatment costs
Prevention costs
Rehabilitation costs
Training and education costs
  • Adapted from A practical guide to prevention effectiveness: decision and economic analyses. Atlanta, GA: Center for Disease Control, 1993:103.