| Titre : | Linking Improvements in Health-Related Quality of Life to Reductions in Medicaid Costs Among Students Who Use School-Based Health Centers. (2010) |
| Auteurs : | WADE (Terrance-J) : USA. Departments of Community Health Sciences and Child and Youth Studies. Brock University. St Catharines. ON. ; JIANFEI GUO (Jeff) : USA. University of Cincinnati Medical Center. Cincinnati. OH. |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 100, n° 9, 2010) |
| Pagination : | 1611-1616 |
| Langues: | Anglais |
| Mots-clés : | Amélioration ; Assurance maladie ; Coût ; Economie santé ; Etudiant ; Homme ; Utilisation ; Centre santé ; Amérique ; Medicaid ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS CJGR0xsn. Diffusion soumise à autorisation]. Objectives. 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. Methods. 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. Results. 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. Conclusions. Improvements in pediatric HRQOL translate into lower Medicaid costs, supporting the use of HRQOL as an outcome for evaluating SBHCs. |
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