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Methodological challenges posed by economic evaluations of early childhood intervention programmes

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Petrou, Stavros and Gray, Ron (2005) Methodological challenges posed by economic evaluations of early childhood intervention programmes. Applied Health Economics and Health Policy, 4 (3). pp. 175-181. doi:10.2165/00148365-200504030-00006

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Official URL: http://dx.doi.org/10.2165/00148365-200504030-00006

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Abstract

Early childhood intervention programmes have emerged in recent years with the aim of fostering the cognitive and social-emotional functioning and physical health of preschool children and enhancing their emerging competencies. This article presents a structured critical appraisal of economic evaluations of early childhood intervention programmes. It highlights a range of methodological issues in the field. These include: the fidelity of the evaluation process; the selection of the appropriate comparison group given the complexity of care routinely provided; the appropriate perspective and coverage of the study; methodological concerns relating to cost and benefit measurement and valuation; analytical requirements relating to the form of sensitivity analysis and the decision rules adopted by decision makers; and the interpretation of the results in the light of contextual factors. It is concluded that more transparent methodological guidance is required for analysts conducting economic evaluations of early childhood intervention programmes in particular and of public health interventions in general. Greater multidisciplinary collaboration between social scientists should also enhance the development of ground-breaking methods in this field.

Item Type: Journal Article
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit
Faculty of Medicine > Warwick Medical School
Journal or Publication Title: Applied Health Economics and Health Policy
Publisher: Springer
ISSN: 1175-5652
Official Date: 2005
Dates:
DateEvent
2005Published
Volume: 4
Number: 3
Page Range: pp. 175-181
DOI: 10.2165/00148365-200504030-00006
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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