Chapter

The uniqueness of child health and challenges to measuring costs and consequences

Wendy J. Ungar and Andreas Gerber

in Economic Evaluation in Child Health

Published in print October 2009 | ISBN: 9780199547494
Published online February 2010 | e-ISBN: 9780191720055 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780199547494.003.01
 The uniqueness of child health and challenges to measuring costs and consequences

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This chapter considers the uniqueness of child health and provides an overview of the methodological challenges in applying current approaches to children. The unique ways in which child health may be distinguished from adult health that are relevant to economic evaluation are discussed in the first half in sections on child development, dependency, patterns of health and disease, and health resource use. Methodological challenges in conducting health economic evaluations are described in the second half. In the section on costing, the text addresses perspective and setting, child and parent productivity costs, the time horizon, and long-term costs. A section on defining health-related outcomes follows. The next section on measurement examines utility assessment, proxy measurement, measurement within the family collective and the use of cost-benefit analysis. Finally, the analysis section scrutinizes issues pertaining to modeling and discounting.

Keywords: methods; child development; dependency; costing; outcomes; utility; proxy; family collective; modeling; discounting

Chapter.  14230 words.  Illustrated.

Subjects: Public Health and Epidemiology

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