Milbank Quarterly

Volume 80 Number 3, 2002



Life Course Health Development: An Integrated Framework for Developing Health, Policy, and Research

Neal Halfon and Miles Hochstein

The life course health development (LCHD) framework organizes research from several fields into a conceptual approach explaining how individual and population health develops and how developmental trajectories are determined by interactions between biological and environmental factors during the lifetime. This approach thus provides a construct for interpreting how people's experiences in the early years of life influence later health conditions and functional status. By focusing on the relationship between experiences and the biology of development, the LCHD framework offers a better understanding of how diseases occur. By suggesting new strategies for health measurement, service delivery, and research, as well as for improving health outcomes, this framework also supports health care-purchasing strategies to develop health throughout life and to build human health capital.


Milbank Memorial Fund HomepageMilbank Memorial QuarterlyReportsBooksEditorial and Program StaffBoards