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Linking Improvements in Health-Related Quality of Life to Reductions in Medicaid Costs Among Students Who Use School-Based Health Centers

American journal of public health (1971), 2010-09, Vol.100 (9), p.1611-1616 [Peer Reviewed Journal]

2015 INIST-CNRS ;Copyright American Public Health Association Sep 2010 ;American Public Health Association 2010 2010 ;ISSN: 0090-0036 ;EISSN: 1541-0048 ;DOI: 10.2105/AJPH.2009.185355 ;PMID: 20634449 ;CODEN: AJPEAG

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Title:
Linking Improvements in Health-Related Quality of Life to Reductions in Medicaid Costs Among Students Who Use School-Based Health Centers
Author: WADE, Terrance J ; JIANFEI GUO, Jeff
Subjects: Adolescent ; Asthma ; Behavior ; Biological and medical sciences ; Child ; Children & youth ; Chronic illnesses ; Cost control ; Cost-Benefit Analysis ; Crisis intervention ; Dental care ; Discount rates ; Enrollments ; Female ; General aspects ; Health care access ; Health care expenditures ; Health care policy ; Health facilities ; Health services ; Health Services Accessibility ; Health Services Needs and Demand ; Health services utilization ; Humans ; Kentucky ; Longitudinal Studies ; Male ; Medicaid ; Medicaid - economics ; Medical sciences ; Medicare ; Mental disorders ; Mental health ; Mental Health Services - utilization ; Miscellaneous ; Ohio ; Pediatrics ; Perceptions ; Public health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Quality of Life ; Regression Analysis ; Reimbursement ; School districts ; School Health Services - utilization ; School lunches ; Students ; Studies ; The Role and Value of School-Based Healthcare ; United States
Is Part Of: American journal of public health (1971), 2010-09, Vol.100 (9), p.1611-1616
Description: We examined whether improvements in pediatric health-related quality of life (HRQOL) stemming from use of school-based health centers (SBHCs) resulted in lower Medicaid costs. We analyzed data on 290 students from a 3-year, longitudinal SBHC evaluation conducted in Cincinnati, Ohio, in 2000 to 2003, including 71 with a mental health diagnosis and 31 with asthma, who had linked Ohio Medicaid records. HRQOL was measured using the Pediatric Quality of Life Inventory. Panel regression examined whether changes in parent-reported and student self-reported HRQOL predicted changes in Medicaid costs. After adjustment for gender, age, SBHC status, and Medicaid type, we found cost reductions for every 1-point increase of parent-reported total ($36.39; P<.01), physical ($35.36; P<.05), and psychosocial ($25.94; P<.01) HRQOL. Significant cost reductions were also associated with student-reported total ($8.94; P<.05) and psychosocial ($7.79; P<.05) HRQOL increases. These effects were significant among the asthma subgroup but not the mental health subgroup. Physical HRQOL ($6.12; P=.27) effects were not significant. Improvements in pediatric HRQOL translate into lower Medicaid costs, supporting the use of HRQOL as an outcome for evaluating SBHCs.
Publisher: Washington, DC: American Public Health Association
Language: English
Identifier: ISSN: 0090-0036
EISSN: 1541-0048
DOI: 10.2105/AJPH.2009.185355
PMID: 20634449
CODEN: AJPEAG
Source: ProQuest One Psychology
MEDLINE
PubMed Central
ProQuest Central

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Linking Improvements in Health-Related Quality of Life to Reductions in Medicaid Costs Among Students Who Use School-Based Health Centers

2015 INIST-CNRS ;Copyright American Public Health Association Sep 2010 ;American Public Health Association 2010 2010 ;ISSN: 0090-0036 ;EISSN: 1541-0048 ;DOI: 10.2105/AJPH.2009.185355 ;PMID: 20634449 ;CODEN: AJPEAG

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