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Published on: June 20, 2020
Economic Evaluation of Interventions for Children with Neurodevelopmental Disorders: Opportunities and Challenges
Ramesh Lamsal1, Jennifer D Zwicker2,3
1School of Public Policy, University of Calgary, 906-8th Avenue SW, Calgary, AB T2P 1H9, Canada.
Insights
Economic evaluations are crucial for assessing healthcare interventions for children with neurodevelopmental disorders (NDDs). Methodological innovations are needed to overcome challenges in measuring outcomes and costs for this population.
Area of Science:
- Health Economics
- Pediatric Healthcare
- Neurodevelopmental Disorders
Background:
- Economic evaluation is vital for healthcare decision-making and resource allocation.
- There is an increasing demand for healthcare services for children with neurodevelopmental disorders (NDDs).
- Current economic evaluations for NDD interventions are limited due to methodological challenges.
Purpose of the Study:
- To highlight the need for economic evaluations in pediatric NDD interventions.
- To identify key challenges in applying existing economic evaluation methods to this population.
- To propose areas for methodological innovation in NDD intervention evaluations.
Main Methods:
- Discussion of existing challenges in economic evaluations for NDDs.
- Identification of specific areas requiring methodological advancement.
- Review of outcome measurement, cost assessment, and long-term impact considerations.
Main Results:
- Paucity of appropriate outcome measurement instruments for children with NDDs and families.
- Difficulties in accurately measuring costs due to diverse service utilization.
- Complexities in assessing caregiver/family effects and estimating long-term productivity costs.
Conclusions:
- Methodological innovation is essential for robust economic evaluations of NDD interventions.
- Addressing measurement challenges will improve resource allocation decisions.
- Enhanced evaluations will determine if current spending on NDD interventions offers good value for money.
Abstract:
Economic evaluation is a tool used to inform decision makers on the efficiency of comparative healthcare interventions and inform resource allocation decisions. There is a growing need for the use of economic evaluations to assess the value of interventions for children with neurodevelopmental disorders (NDDs), a population that has increasing demands for healthcare services. Unfortunately, few evaluations have been conducted to date, perhaps stemming from challenges in applying existing economic evaluation methodologies in this heterogeneous population. Opportunities exist to innovate methods to address key challenges in conducting economic evaluations of interventions for children with NDDs. In this paper, we discuss important considerations and highlight areas for future work. This includes the paucity of appropriate instruments for measuring outcomes meaningful to children with NDDs and their families, difficulties in the measurement of costs due to service utilization in a wide variety of sectors, complexities in the measurement of caregiver and family effects and considerations in estimating long-term productivity costs. Innovation and application of evaluation approaches in these areas will help inform decisions around whether the resources currently spent on interventions for children with NDDs represent good value for money, or whether greater benefits for children could be generated by spending money in other ways.
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