Titre :
|
Health and economic benefits of reducing the number of students per classroom in US primary schools. (2007)
|
Auteurs :
|
MUENNIG (Peter) : USA. Department of Health Policy and Management. Mailman School of Public Health. Columbia University. New York. NY. ;
WOOLF (Steven-H) : USA. Departments of Family Medicine. Epidemiology. And Community Health. Virginia Commonwealth University. Richmond.
|
Type de document :
|
Article
|
Dans :
|
American journal of public health (vol. 97, n° 11, 2007)
|
Pagination :
|
2020-2027
|
Langues:
|
Anglais
|
Mots-clés :
|
Economie santé
;
Etudiant
;
Homme
;
Ecole élémentaire
;
Amérique
;
Amérique du Nord
|
Résumé :
|
[BDSP. Notice produite par INIST-CNRS R0xz2T1A. Diffusion soumise à autorisation]. Objectives. We estimated the costs associated with reducing class sizes in kindergarten through grade 3 as well as the effects of small class sizes on selected outcomes such as quality-adjusted life-years and future earnings. Methods. We used multiple data sets to predict changes in the outcomes assessed according to level of educational attainment. We then used a Markov model to estimate future costs and benefits incurred and quality-adjusted life-years gained per additional high school graduate produced over time. Results. From a societal perspective (incorporating earnings and health outcomes), class-size reductions would generate a net cost savings of approximately $168000 and a net gain of 1.7 quality-adjusted life-years for each high school graduate produced by small classes. When targeted to low-income students, the estimated savings would increase to $196 000 per additional graduate. From a governmental perspective (incorporating public expenditures and revenues), the results of reducing class sizes ranged from savings in costs to an additional cost of $15 000 per quality-adjusted life-year gained. Conclusions. Reducing class sizes may be more cost-effective than most public health and medical interventions.
|