Health Economics Bristol (HEB), Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
King's Health Economics (KHE), Health Service and Population Research, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Health Econ. 2021 Sep;30(9):1990-2003. doi: 10.1002/hec.4363. Epub 2021 May 25.
Methods for measuring outcomes suitable for economic evaluations of health and care interventions have primarily focused on adults. The validity of such methods for children and young people is questionable in areas including the outcome domains measured and how they are measured and valued, with most existing measures narrowly focusing on health. Novel methods for assessing benefits beyond health by focusing on a person's capability have also concentrated on adults to date. This paper aims to set out the rationale for capability measures in children and young people. It argues for the need to expand the evaluative space beyond health functioning towards broader capabilities, with children and young people playing an integral role in capability measure development. Drawing from existing literature, specific challenges related to the identification, measurement, and valuation of capabilities in children and young people are also discussed. Finally, the practical implications for conducting economic evaluation when measuring and valuing capabilities at different stages across the life-course are illustrated. We develop an alternative framework based on conceiving capabilities as evolving across the life-course. This framework may also be helpful in thinking about how to model health outcomes across the life-course.
方法衡量结果适合健康和医疗干预措施的经济评价主要集中在成年人。这种方法的有效性对于儿童和年轻人是值得怀疑的领域包括测量的结果和如何衡量和重视,与大多数现有的措施狭隘地集中在健康。新的方法来评估的好处超出健康通过关注一个人的能力也集中在成年人迄今为止。本文旨在阐述的基本原理能力措施在儿童和年轻人。它认为有必要扩大评估空间超越健康功能更广泛的能力,与儿童和年轻人发挥一个组成部分在能力衡量发展。从现有的文献中,具体的挑战与识别、测量和估值的能力在儿童和年轻人也进行了讨论。最后,实际意义进行经济评价时衡量和估值的能力在不同阶段的整个生命周期。我们开发一个替代框架的基础上设想能力作为跨越整个生命周期。这个框架也可能有助于思考如何建模健康结果在整个生命周期。
