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Views, obstacles, and uncertainties around the inclusion of children and young people’s time in economic evaluations : findings from an international survey of health economists
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Andronis, Lazaros, Morgan, Cameron, Donaldson, Cam, Lancsar, Emily and Petrou, Stavros (2023) Views, obstacles, and uncertainties around the inclusion of children and young people’s time in economic evaluations : findings from an international survey of health economists. Social Science & Medicine, 333 . 116179. doi:10.1016/j.socscimed.2023.116179 ISSN 0277-9536.
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Official URL: https://doi.org/10.1016/j.socscimed.2023.116179
Abstract
People's time is a limited resource and, in economic evaluations that adopt a societal perspective, it is important that it is valued and accounted for. Yet, in economic evaluations of interventions for children and young people (CYP), attempts to take into account the opportunity cost of their time are rare. To understand why this is the case, we need to first understand what views health economists hold in relation to CYP time, and what challenges they face in incorporating this in their evaluations.
We planned and carried out an international survey of health economists. We used a combination of approaches to identify potential survey respondents (the survey's sampling frame), we developed a questionnaire that sought to capture respondents' views and practice through close- and open-ended questions, we piloted the questionnaire through a series of cognitive interviews, and we e-mailed unique links to the final version of the questionnaire to 1956 individuals in the sampling frame. We analysed data using quantitative (descriptive and inferential statistics) and qualitative (thematic analysis) methods.
We received 274 complete responses. Most respondents (87%) believe CYP time should be considered for inclusion in economic evaluations conducted from a societal perspective. However, they identify a number of obstacles to doing so, most prominently uncertainties around appropriate practice (e.g., when CYP's time should or should not be included in calculations), methodological gaps (e.g., what value to attach to CYP's time), and practical difficulties in measuring displaced time in CYP. Reporting on their own practice, most respondents found it challenging to consider CYP time in their studies, and stressed the need for clear guidance on when, and further research on how, to appropriately account for CYP's time in economic evaluations. We offer our views on how to move the topic forwards and make suggestions further research.
Item Type: | Journal Article | |||||||||
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Subjects: | B Philosophy. Psychology. Religion > BD Speculative Philosophy H Social Sciences > HB Economic Theory R Medicine > RA Public aspects of medicine |
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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 |
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Library of Congress Subject Headings (LCSH): | Medical economics, Medical care -- Cost effectiveness , Time and economic reactions, Time , Time -- Economic aspects | |||||||||
Journal or Publication Title: | Social Science & Medicine | |||||||||
Publisher: | Elsevier | |||||||||
ISSN: | 0277-9536 | |||||||||
Official Date: | September 2023 | |||||||||
Dates: |
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Volume: | 333 | |||||||||
Article Number: | 116179 | |||||||||
DOI: | 10.1016/j.socscimed.2023.116179 | |||||||||
Status: | Peer Reviewed | |||||||||
Publication Status: | Published | |||||||||
Access rights to Published version: | Open Access (Creative Commons) | |||||||||
Date of first compliant deposit: | 15 August 2023 | |||||||||
Date of first compliant Open Access: | 10 October 2023 | |||||||||
RIOXX Funder/Project Grant: |
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