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Published on: January 12, 2018
Making the case for pediatric research: a life-cycle approach and the return on investment
Daniel P Gitterman1, William W Hay2, W Scott Langford3
1Public Policy, University of North Carolina, CB #3435, Chapel Hill, NC, 27599-3435, USA. danielg@email.unc.edu.
Insights
Increased funding for pediatric and perinatal research is evident, yet a life-cycle approach is crucial. Researchers must demonstrate long-term health benefits from early life interventions to inform public policy.
Area of Science:
- Pediatric Research
- Perinatal Health
- Developmental Origins of Health and Disease
Background:
- National Institutes of Health (NIH) funding for pediatric and perinatal research has increased.
- Significant work remains to optimize the impact of this research.
- Current research often lacks a long-term, life-cycle perspective.
Purpose of the Study:
- To advocate for a life-cycle approach to maximize the return on investment in pediatric and perinatal research.
- To emphasize the need for evidence demonstrating long-term health benefits of early life interventions.
- To improve communication of early developmental impacts on adult disease to the public and policymakers.
Main Methods:
- This study is a perspective piece advocating for a research funding and communication strategy.
- It synthesizes existing knowledge on the importance of early life events.
- It proposes a framework for demonstrating long-term health outcomes.
Main Results:
- Increased NIH funding for pediatric and perinatal research is acknowledged.
- A life-cycle approach is proposed to sustain research benefits.
- The necessity of demonstrating long-term health impacts is highlighted.
Conclusions:
- A life-cycle perspective is essential for pediatric and perinatal research to demonstrate lifelong health benefits.
- Researchers must bridge the gap between short-term policy horizons and long-term health outcomes.
- Effective communication is vital to underscore the importance of early development for public health and policy.
Abstract:
There is unmistakable evidence of increased NIH funding for pediatric and perinatal research, but there is much work to be done. To further promote NIH-funded pediatric and perinatal research, we advocate for a life-cycle approach in which the return on the investment continues over the lifespan. Although elected policymakers have short-time horizons, pediatric and perinatal researchers must provide novel evidence and theoretical arguments demonstrating the long-term health benefits for the adults of tomorrow by improving the health of our current pediatric populations. Child health researchers must communicate the role of early developmental events on childhood and adult disease, including those that are prenatal and gestational so that its importance is understood by the public and policymakers.
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