
Contents
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The uniqueness of child health The uniqueness of child health
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Development Development
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Dependency Dependency
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Patterns of health and disease Patterns of health and disease
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Health resource use Health resource use
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Challenges in the conduct of health economic evaluation in children Challenges in the conduct of health economic evaluation in children
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Costing Costing
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Perspective and setting Perspective and setting
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Productivity costs Productivity costs
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Time horizon Time horizon
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Special challenges of costing Special challenges of costing
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Defining health-related outcomes Defining health-related outcomes
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Measurement Measurement
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The special challenge of utility assessment The special challenge of utility assessment
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Measurement by proxy Measurement by proxy
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Measurement within the family collective Measurement within the family collective
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The use of cost–benefit analysis to measure collective effects The use of cost–benefit analysis to measure collective effects
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Analysis Analysis
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Modelling Modelling
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Discounting Discounting
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Conclusions Conclusions
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Acknowledgements Acknowledgements
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References References
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1 The uniqueness of child health and challenges to measuring costs and consequences
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Published:October 2009
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Abstract
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.
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