Evidence map›Paper›PMID 34324174›Full record

ReviewPharmacoEconomics2021

The Challenges of Measuring Informal Care Time: A Review of the Literature.

Sean Urwin, Yiu-Shing Lau, Gunn Grande, Matt Sutton

Abstract readReview
In one paragraph

Review in PharmacoEconomics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed.

  1. Trial
  2. Observational
  3. Article
  4. The economic burden of neurological disorders in Europe - COIN-Eu: Study design and analytic framework.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
    Article
  5. Review
  6. Article
  7. Economic value of non-professional care in Spain. An analysis of the last decade.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sean UrwinHealth Organisation, Policy and Economics, School of Health Sciences, University of Manchester, Williamson Building, Oxford Road, Manchester, M13 9PL, UK. sean.urwin@manchester.ac.uk.ORCID http://orcid.org/0000-0002-9084-8368
Yiu-Shing LauHealth Organisation, Policy and Economics, School of Health Sciences, University of Manchester, Williamson Building, Oxford Road, Manchester, M13 9PL, UK.
Gunn GrandeDivision of Nursing, Midwifery and Social Care, University of Manchester, Manchester, UK.
Matt SuttonHealth Organisation, Policy and Economics, School of Health Sciences, University of Manchester, Williamson Building, Oxford Road, Manchester, M13 9PL, UK.

Funding

Wellcome Trust 212812/Z/18/Z
6 · The paper itself

Abstract

Economic evaluations increasingly include the value of informal care, for example, in terms of caregiver health effects or time costs. If an economic evaluation uses caregiving time costs, appropriate measurement of caregiving time is an important first step prior to its valuation. There is no comprehensive overview of the measurement challenges for caregiving time. In this literature review, we searched Medline, Embase, Econlit and Scopus to identify measurement issues and associated studies which reported informal care time that addressed them. The search identified 27 studies that addressed nine measurement issues. There is limited evidence on how to address these issues, although some have received relatively more attention, including incremental time (considered in 16 studies), time measurement method comparisons (six studies) and the inclusion of intangible tasks (four studies). Non-response (considered in only one study) and carer and recipient identification (two studies) were the most wide-reaching measurement concerns, as these determine who is identified as carers. There was no evidence on the consequences of these measurement challenges in terms of impacts on cost-effectiveness ratios and on the total cost of health conditions, which would be a crucial next step. Future research on these issues should consider a range of different settings, as informal care is highly heterogeneous. The measurement of informal care is key for its inclusion in economic evaluations but there is little consensus on how to appropriately measure this type of care.

Indexed as

CaregiversPatient CareCost-Benefit AnalysisHumans

Identifiers

PMID34324174
PMCPMC8516777

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.