Concept and measurement of pediatric value
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Updated: Apr 25, 2026

Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
Published on: June 20, 2020
Christopher B Forrest1, Jeffrey H Silber1
1Department of Pediatrics, The Children's Hospital of Philadelphia and Perelman School of Medicine; Leonard Davis Institute of Health Economics; and Department of Health Care Management, The Wharton School, University of Pennsylvania, Philadelphia, Pa.
Insights
Families need clear information on pediatric health care value to make informed decisions. This requires collecting child-specific outcomes and costs, analyzed from the family
Area of Science:
- Health Services Research
- Health Economics
- Pediatric Health Outcomes
Background:
- The evolving health care marketplace necessitates informed decision-making by families regarding health plans, providers, and accountable care organizations.
- Effective decision-making hinges on understanding health care value, defined as the relationship between patient/family-centered outcomes and the costs of achieving them.
Purpose of the Study:
- To highlight the need for pediatric-specific health care value information for families.
- To outline requirements for data collection and analysis to support family decision-making in pediatric care.
Main Methods:
- Proposes new investments in data collection systems for pediatric health care.
- Emphasizes the inclusion of outcomes important to children and families.
- Advocates for cost measurement at the individual child level.
- Recommends direct standardization for analyzing data from a user's perspective, specifically for families.
Main Results:
- Current systems may not adequately capture pediatric-specific outcomes and costs relevant to families.
- Direct standardization is identified as a suitable method for comparing health care systems based on family and child characteristics.
Conclusions:
- Developing and disseminating pediatric health care value information is crucial for empowering families.
- Investments in data infrastructure and analytical methods are necessary to provide meaningful value assessments for pediatric care.
Abstract:
In the new health care marketplace, families will be making important decisions concerning choice of health plan, health provider, and even accountable care organizations. Ideally, they would make these decisions using information on health care value, which comprises the relationships between patient/family-centered outcomes (the outputs of health care services) and costs of providing care to achieve these outcomes. Providing information on pediatric value will require new investments in data collection systems that include outcomes that matter to children and families and costs measured at the level of the child. The analysis of these data must account for the perspective of the user of the information. In the case of families, direct standardization should be used to contrast care in one health care system with another according to the unique characteristics of each family and child.
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