Title: Economic evaluation in child health /
Authors: Ungar, Wendy J.
Publisher: Oxford University Press,
Year: 2010
Subjects: Child; Pediatrics economics; Child Health Services economics; Child health services Economic aspects.; Pediatrics Economic aspects.; Costs and Cost Analysis; Health Services Accessibility economics
Abstract: (Publisher-supplied data) Guidelines for conducting health economic evaluations have become increasingly standardized, however, they don't address the unique concerns of the pediatric population. The challenges of measuring costs and consequences in children, from neonate to late adolescence, are numerous and complex. With the growing acceptance of economic evidence to guide decisions in health systems facing economic constraints, it is imperative that these challenges be considered so that this population is not left out of evidence-based decisions. This book is divided into three sections: Methods, Applications, and Using Evidence for Decision-Making, with chapters contributed by international experts. The Methods section presents detailed discussions of measuring lifetime costs and consequences, capturing productivity losses, obtaining unbiased self- and proxy reports, incorporating externalities, choosing valid outcome measures, assessing utility, and designing studies using value of information. The Applications section reviews economic evidence in common childhood conditions and areas of investigation, including newborn screening, harm prevention, mental health services, brain injury, asthma, and immunization. The final section explores the use of economic evidence in division-making, and includes a description of the WHO-CHOICE approach, the role of clinical research, how to value health gains by children, and the emerging field of health technology assessment. In addition to an emphasis on methods, a deliberate effort was made to include issues relevant to developing countries, where the burden of childhood disease is greatest, and for whom high quality economic evidence is critical.
Contents: The uniqueness of child heath and challenges to measuring costs and consequences / Wendy J. Ungar, Andreas Gerber -- The reliability and validity of children's and adolescents' self-reported health / Katherine B. Bevans, Christopher B. Forrest -- Incorporating caregiver and family effects in economic evaluations of child health / Werner B.F. Brouwer, N. Job A. van Exel, J. Mick Tilford -- Measurement of health utilities in children / Lillian Sung, Stavros Petrou, Wendy J. Ungar -- The use of value of information methods in the design and evaluation of clinical trials / Andrew R. Willan -- Economic evaluations of newborn screening / Scott D. Grosse -- Economic evaluation in harm prevention: What are the special challenges? Economic evaluation in child protection / Kim Dalziel, Leonie Segal -- Economic evaluation in child welfare / E. Michael Foster -- Economic evaluation in fetal alcohol spectrum disorder / Y. Ingrid Goh, Gideon Koren, Wendy J. Ungar -- Obstacles to the economic evaluation of specialist child and adolescent mental health services / Sarah Byford -- Is more aggressive treatment of pediatric traumatic brain injury worth it? / J. Mick Tilford, Ali I. Raja -- Economic evaluations in the management of pediatric asthma / Jonathan D. Campbell, Sean D. Sullivan -- Economic evaluation of childhood vaccines / Damian G. Walker, Philippe Beutels, Raymond Hutubessy -- Economic evaluation of dengue prevention / Donald S. Shepard, Jose A. Suaya -- Economic evaluations of interventions for children in the developing world: the WHO-CHOICE approach / Tessa Tan-Torres Edejer [and others] -- Evidence-based decision-making in child health: the role of clinical research and economic evaluation / Gillian Currie, Sarah Curtis, Terry Klassen -- Should health gains by children be given the same value as health gains by adults in an economic evaluation framework? / Stavros Petrou -- Health technology assessment in child health / Vania Costa, Wendy J. Ungar.