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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

Bibliographic Data

ID11020595
AuthorsTerrance J Wade (0000-0002-1166-6495, Terrance J. Wade is with the Departments of Community Health Sciences and Child and Youth Studies, Brock University, St Catharines, Ontario. Jeff Jianfei Guo is with the University of Cincinnati Medical Center, Cincinnati, OH.), Jeff J Guo (0000-0002-1177-4146, Brock University)
Year2010
Volume100
Issue9
Pages1611-1616
Publication date2010-09-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2009.185355
PMID20634449
PMCIDPMC2920994
OpenAlexW2028769999
LanguageEN
Citations received4
References cited29

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 Conclusions. Improvements in pediatric HRQOL translate into lower Medicaid costs, supporting the use of HRQOL as an outcome for evaluating SBHCs

Environmental health · Family medicine · Health care · Medicaid · Political science · Quality (philosophy) · Child and Adolescent Psychosocial and Emotional Development · Childhood Cancer Survivors' Quality of Life · Healthcare Policy and Management · Medicine · Psychology · Gerontology

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Citations per year0.31
Citation span2013 - 2019 (7)
Highly citedNo

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