School-Based Health Centers

Cost–Benefit Analysis and Impact on Health Care Disparities

Bibliographic Data

ID11028068
AuthorsJeff J Guo (0000-0002-1177-4146, Jeff J. Guo is with the University of Cincinnati College of Pharmacy, Cincinnati, Ohio. At the time of the study, Terrance J. Wade was with University of Cincinnati Medical Center. Wei Pan is with College of Education, Criminal Justices and Human Services, University of Cincinnati. Kathryn N. Keller is with the Health Foundation of Greater Cincinnati, Cincinnati, Ohio.), Terrance J Wade (0000-0002-1166-6495, Jeff J. Guo is with the University of Cincinnati College of Pharmacy, Cincinnati, Ohio. At the time of the study, Terrance J. Wade was with University of Cincinnati Medical Center. Wei Pan is with College of Education, Criminal Justices and Human Services, University of Cincinnati. Kathryn N. Keller is with the Health Foundation of Greater Cincinnati, Cincinnati, Ohio.), Wei Pan (0000-0003-2410-9935, Jeff J. Guo is with the University of Cincinnati College of Pharmacy, Cincinnati, Ohio. At the time of the study, Terrance J. Wade was with University of Cincinnati Medical Center. Wei Pan is with College of Education, Criminal Justices and Human Services, University of Cincinnati. Kathryn N. Keller is with the Health Foundation of Greater Cincinnati, Cincinnati, Ohio.), Kathryn N Keller (0009-0008-8840-9834, Jeff J. Guo is with the University of Cincinnati College of Pharmacy, Cincinnati, Ohio. At the time of the study, Terrance J. Wade was with University of Cincinnati Medical Center. Wei Pan is with College of Education, Criminal Justices and Human Services, University of Cincinnati. Kathryn N. Keller is with the Health Foundation of Greater Cincinnati, Cincinnati, Ohio.)
Year2010
Volume100
Issue9
Pages1617-1623
Publication date2010-09-01
Peer ReviewedYes
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.2009.185181
PMID20634450
PMCIDPMC2920971
OpenAlexW2169196229
LanguageEN
Citations received7
References cited31

Objectives. We evaluated the impact of school-based health centers—which provide essential health care for students by aiming to eliminate many access barriers—on health care access disparities and conducted a cost–benefit analysis. Methods. We employed a longitudinal quasi-experimental repeated-measures design. Primary data sources included the Ohio Medicaid claims, enrollment file with race/ethnicity, and survey reports from parents. We used hierarchical linear modeling to control unbalanced data because of student attrition. We assessed quarterly total Medicaid reimbursement costs for 5056 students in the SBHC and non-SBHC groups from 1997 to 2003. We calculated net social benefit to compare the cost of the SBHC programs with the value that SBHCs might save or create. Results. With SBHCs, the gap of lower health care cost for African Americans was closed. The net social benefits of the SBHC program in 4 school districts were estimated as $1 352 087 over 3 years. We estimated that the SBHCs could have saved Medicaid about $35 per student per year. Conclusions. SBHCs are cost beneficial to both the Medicaid system and society, and may close health care disparity gaps

Attrition · Environmental health · Ethnic group · Family medicine · Health care · Health equity · Medicaid · Multilevel model · Political science · Public health · Reimbursement · Adolescent Sexual and Reproductive Health · Demography · Healthcare Policy and Management · Medicine · Nursing · School Health and Nursing Education · Gerontology

Tools

Open DOISci-HubOpen Access