Research Review: Economic evidence for interventions in children's social care: revisiting the What Works for Children project

Research Review: Economic evidence for interventions in children's social care: revisiting the What Works for Children project
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研究综述:儿童社会关怀干预措施的经济证据:重新审视“什么对儿童有效”项目

DOI:
10.1111/j.1365-2206.2009.00665.x
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发表时间:
2010
影响因子:
1.7
通讯作者:
Stevens M
Stevens M
中科院分区:
法学3区
文献类型:
--
作者:
Stevens M

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有关儿童服务干预措施的成本效益的证据可以帮助决策者更有效地利用稀缺资源。我们回到了六个有点不同的干预措施,我们整理了服务规划者和从业者在经济和社会研究理事会资助的儿童福利项目中确定的与儿童福利相关的研究证据。这些措施包括家访、育儿、认知基础疗法、指导、交通平静和早餐俱乐部干预。我们旨在探索这些措施的成本效益和成本效益证据的性质和范围。我们搜索了研究六种干预措施的成本和有效性的研究,发现24项研究符合我们的纳入标准。这些研究在研究设计和经济方法(包括经济模型和支付意愿)方面各不相同。与育儿方案和交通平静化有关的研究给出了最积极的迹象,表明干预措施可能对所讨论的结果具有成本效益。其余的研究没有给出一个清晰的画面,在很大程度上是因为缺乏证据表明干预是有效的。
Evidence about the cost‐effectiveness of interventions in children's services can help decision‐makers make more efficient use of scarce resources. We returned to six somewhat disparate interventions on which we had collated research evidence identified by service planners and practitioners as relevant to the well‐being of children in the course of the Economic and Social Research Council‐funded What Works for Children project. These are home visiting, parenting, cognitive–bahavioural therapy, mentoring, traffic calming and breakfast club interventions. We aimed to explore the nature and extent of evidence on cost‐benefit and cost effectiveness for these measures. We conducted searches for studies that looked at the costs as well as the effectiveness of the six interventions and found 24 studies matching our inclusion criteria. The studies were diverse in terms of study design and economic methods (including economic modelling and willingness to pay). Studies relating to parenting programmes and traffic calming gave the most positive indication that the interventions may be cost‐effective for the outcomes in question. The remainder of the studies did not give a clear picture, in large part because of a lack of demonstration that the intervention was effective.
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