Economic Evaluation in Child Health

Häftad, Engelska, 2009

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Beskrivning

Guidelines for conducting health economic evaluations have become increasingly standardized, however they don't address the unique concerns of the paediatric 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. The time has come for a textbook to address economic evaluation in child health.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 decision-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.

Produktinformation

Utgivningsdatum:2009-10-08
Mått:155 x 233 x 18 mm
Vikt:520 g
Format:Häftad
Språk:Engelska
Antal sidor:338
Förlag:OUP OXFORD
ISBN:9780199547494

Utforska kategorier

Miljöekonomi inom Ekonomi och Ledarskap
Pediatrik inom Medicin
Hälso- och sjukvård: administration och ledning inom Medicin

Mer om författaren

Wendy Ungar MSc, PhD is a Senior Scientist in Child Health Evaluative Sciences at the Hospital for Sick Children, Toronto, Canada, an Associate Professor in Health Policy, Management and Evaluation, University of Toronto, and an Adjunct Scientist at the Institute for Clinical Evaluative Sciences, Toronto, Canada. Dr. Ungar is the University of Toronto Program Director for the International Masters in Health Technology Assessment & Management (Ulysses program) and has held a Canadian Institutes of Health Research New Investigator career award.Dr. Ungar leads a program of research in the application of health economic methods to the paediatric population and also investigates the relationship between policies governing access to prescription medicines and health outcomes in children. Dr. Ungar and her research team created and maintain the PEDE database (http://pede.ccb.sickkids.ca/pede/), a popular on-line health technology assessment tool for examining health economic evidence in children.

Innehållsförteckning

METHODS ; 1. The uniqueness of child health and challenges to measuring costs and consequences ; 2. The reliability and validity of children's and adolescents' self-reported health ; 3. Incorporating caregiver and family effects in economic evaluations of child health ; 4. Measurement of health utilities in children ; 5. The use of value of information methods in the design and evaluation of clinical trials ; APPLICATIONS ; 6. Economic evaluations of newborn screening ; 7. Economic evaluation in child protection: what are the special challenges? Part 1. Economic evaluation in child protection ; Economic evaluation in child protection: what are the special challenges? Part 2. Economic evaluation in child welfare ; Economic evaluation in child protection: what are the special challenges? Part 3. Economic evaluation in Fetal Alcohol Spectrum Disorder ; 8. Obstacles to the economic evaluation of specialist child and adolescent mental health services ; 9. Is more aggressive treatment of pediatric traumatic brain injury worth it? ; 10. Economic evaluations in the management of paediatric asthma ; 11. Economic evaluation of childhood vaccines ; 12. Economic evaluation of dengue prevention ; USING EVIDENCE FOR DECISION-MAKING ; 13. Economic evaluations of interventions for children in the developing world: the WHO-CHOICE approach ; 14. Evidence-based decision-making in child health: the role of clinical research and economic evaluation ; 15. Should health gains by children be given the same value as health gains by adults in an economic evaluation framework? ; 16. Health-technology assessment in child health