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Methods of assessing value for money of UK-based early childhood public health interventions: a systematic literature review.
British Medical Bulletin ( IF 6.7 ) Pub Date : 2023-04-05 , DOI: 10.1093/bmb/ldac035
Peter Murphy 1 , Sebastian Hinde 1 , Helen Fulbright 2 , Louise Padgett 3 , Gerry Richardson 1
Affiliation  

INTRODUCTION Economic evaluation has an important role to play in the demonstration of value for money of early childhood public health interventions; however, concerns have been raised regarding their consistent application and relevance to commissioners. This systematic review of the literature therefore aims to collate the breadth of the existing economic evaluation evidence of these interventions and to identify the approaches adopted in the assessment of value. SOURCE OF DATA Recently published literature in Medline, EMBASE, EconLit, Health Management Information Consortium, Cochrane CENTRAL, Cochrane Database of Systematic Reviews, Health Technology Assessment, NHS EED and Web of Science. AREAS OF AGREEMENT The importance of the early childhood period on future health and well-being as well as the potential to impact health inequalities making for a strong narrative case for expenditure in early childhood public health. AREAS OF CONTROVERSY The most appropriate approaches to evaluating value for money of such preventative interventions relevant for UK decision-makers given the evident challenges. GROWING POINTS The presented review considered inconsistencies across methodological approaches used to demonstrate value for money. The results showed a mixed picture in terms of demonstrating value for money. AREAS TIMELY FOR DEVELOPING RESEARCH Future resource allocations decisions regarding early childhood public health interventions may benefit from consistency in the evaluative frameworks and health outcomes captured, as well as consistency in approaches to incorporating non-health costs and outcomes, incorporating equity concerns and the use of appropriate time horizons.

中文翻译:

评估英国早期儿童公共卫生干预措施的资金价值的方法:系统的文献综述。

引言 经济评估在证明早期儿童公共卫生干预措施物有所值方面发挥着重要作用;然而,人们对它们的一贯适用性和与委员的相关性表示担忧。因此,本系统性文献综述旨在整理这些干预措施的现有经济评估证据的广度,并确定价值评估中采用的方法。数据来源 最近在 Medline、EMBASE、EconLit、健康管理信息联合会、Cochrane CENTRAL、Cochrane 系统评价数据库、卫生技术评估、NHS EED 和科学网发表的文献。协议领域 幼儿期对未来健康和福祉的重要性以及影响健康不平等的可能性为幼儿期公共卫生支出提供了强有力的叙述案例。争议领域 考虑到明显的挑战,评估与英国决策者相关的此类预防性干预措施的资金价值的最合适方法。增长点 所提出的审查考虑了用于证明物有所值的方法论方法之间的不一致。结果显示,在展示物有所值方面喜忧参半。适时开展研究的领域 关于幼儿期公共卫生干预措施的未来资源分配决策可能受益于评估框架和所获取健康结果的一致性,
更新日期:2023-04-05
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