Résumé :
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[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<. physical p and psychosocial hrqol. significant cost reductions were also associated with student-reported total hrqol increases. these effects among the asthma subgroup but not mental health subgroup. significant. conclusions. improvements in pediatric translate into lower medicaid costs supporting use of as an outcome for evaluating sbhcs.>
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