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Measuring, valuing and including forgone childhood education and leisure time costs in economic evaluation : methods, challenges and the way forward
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Andronis, L. (Lazaros) , Maredza, Mandy and Petrou, Stavros (2019) Measuring, valuing and including forgone childhood education and leisure time costs in economic evaluation : methods, challenges and the way forward. Social Science and Medicine, 237 . 112475. doi:10.1016/j.socscimed.2019.112475 ISSN 0277-9536.
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Official URL: https://doi.org/10.1016/j.socscimed.2019.112475
Abstract
Economic evaluations carried out to inform the allocation of finite public funds ought to take into account all relevant costs and benefits. When such evaluations adopt a societal perspective, it is important that they include ‘time-related’ costs arising from productivity and leisure time losses due to receipt of care, ill health or both. For programmes that relate to children, similar costs arise from forgone time, though there is a distinct lack of insights into how such costs should be identified, measured and valued. We set out to explore how forgone time—including absence from formal education and childhood leisure time—can be estimated and incorporated into economic evaluations. To do so, we look at theories and approaches to time valuation proposed in different disciplines and we discuss their suitability for use in health economics research. We find that, while there is a sizeable literature on time valuation methods in education, labour and transportation economics, much of this is not directly applicable to economic evaluation of health care interventions for children. We identify gaps in existing methods and practice, we outline challenges in moving forwards and we provide a list of considerations aiming to assist researchers in deciding whether, and how, to include foregone time-related costs in economic evaluation.
Item Type: | Journal Article | ||||||||||||
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Subjects: | H Social Sciences > HD Industries. Land use. Labor R Medicine > RJ Pediatrics |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Time -- Economic aspects, Early childhood education -- Economic aspects, Cost effectiveness, Leisure -- Cost effectiveness, Children -- Health and hygiene -- Cost effectiveness | ||||||||||||
Journal or Publication Title: | Social Science and Medicine | ||||||||||||
Publisher: | Pergamon-Elsevier Science Ltd | ||||||||||||
ISSN: | 0277-9536 | ||||||||||||
Official Date: | September 2019 | ||||||||||||
Dates: |
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Volume: | 237 | ||||||||||||
Article Number: | 112475 | ||||||||||||
DOI: | 10.1016/j.socscimed.2019.112475 | ||||||||||||
Status: | Peer Reviewed | ||||||||||||
Publication Status: | Published | ||||||||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||||||||
Date of first compliant deposit: | 7 August 2019 | ||||||||||||
Date of first compliant Open Access: | 7 August 2019 | ||||||||||||
RIOXX Funder/Project Grant: |
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