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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
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| Zeitschriftentitel: | American Journal of Public Health |
|---|---|
| Personen und Körperschaften: | , |
| In: | American Journal of Public Health, 100, 2010, 9, S. 1611-1616 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
American Public Health Association
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| Schlagwörter: |
| author_facet |
Wade, Terrance J. Guo, Jeff Jianfei Wade, Terrance J. Guo, Jeff Jianfei |
|---|---|
| author |
Wade, Terrance J. Guo, Jeff Jianfei |
| spellingShingle |
Wade, Terrance J. Guo, Jeff Jianfei American Journal of Public Health Linking Improvements in Health-Related Quality of Life to Reductions in Medicaid Costs Among Students Who Use School-Based Health Centers Public Health, Environmental and Occupational Health |
| author_sort |
wade, terrance j. |
| spelling |
Wade, Terrance J. Guo, Jeff Jianfei 0090-0036 1541-0048 American Public Health Association Public Health, Environmental and Occupational Health http://dx.doi.org/10.2105/ajph.2009.185355 <jats:p> 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. </jats:p><jats:p> 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. </jats:p><jats:p> 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. </jats:p><jats:p> Conclusions. Improvements in pediatric HRQOL translate into lower Medicaid costs, supporting the use of HRQOL as an outcome for evaluating SBHCs. </jats:p> Linking Improvements in Health-Related Quality of Life to Reductions in Medicaid Costs Among Students Who Use School-Based Health Centers American Journal of Public Health |
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| title |
Linking Improvements in Health-Related Quality of Life to Reductions in Medicaid Costs Among Students Who Use School-Based Health Centers |
| title_unstemmed |
Linking Improvements in Health-Related Quality of Life to Reductions in Medicaid Costs Among Students Who Use School-Based Health Centers |
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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 |
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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 |
| title_full_unstemmed |
Linking Improvements in Health-Related Quality of Life to Reductions in Medicaid Costs Among Students Who Use School-Based Health Centers |
| title_short |
Linking Improvements in Health-Related Quality of Life to Reductions in Medicaid Costs Among Students Who Use School-Based Health Centers |
| title_sort |
linking improvements in health-related quality of life to reductions in medicaid costs among students who use school-based health centers |
| topic |
Public Health, Environmental and Occupational Health |
| url |
http://dx.doi.org/10.2105/ajph.2009.185355 |
| publishDate |
2010 |
| physical |
1611-1616 |
| description |
<jats:p> 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. </jats:p><jats:p> 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. </jats:p><jats:p> 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. </jats:p><jats:p> Conclusions. Improvements in pediatric HRQOL translate into lower Medicaid costs, supporting the use of HRQOL as an outcome for evaluating SBHCs. </jats:p> |
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| author | Wade, Terrance J., Guo, Jeff Jianfei |
| author_facet | Wade, Terrance J., Guo, Jeff Jianfei, Wade, Terrance J., Guo, Jeff Jianfei |
| author_sort | wade, terrance j. |
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| description | <jats:p> 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. </jats:p><jats:p> 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. </jats:p><jats:p> 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. </jats:p><jats:p> Conclusions. Improvements in pediatric HRQOL translate into lower Medicaid costs, supporting the use of HRQOL as an outcome for evaluating SBHCs. </jats:p> |
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| spelling | Wade, Terrance J. Guo, Jeff Jianfei 0090-0036 1541-0048 American Public Health Association Public Health, Environmental and Occupational Health http://dx.doi.org/10.2105/ajph.2009.185355 <jats:p> 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. </jats:p><jats:p> 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. </jats:p><jats:p> 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. </jats:p><jats:p> Conclusions. Improvements in pediatric HRQOL translate into lower Medicaid costs, supporting the use of HRQOL as an outcome for evaluating SBHCs. </jats:p> Linking Improvements in Health-Related Quality of Life to Reductions in Medicaid Costs Among Students Who Use School-Based Health Centers American Journal of Public Health |
| spellingShingle | Wade, Terrance J., Guo, Jeff Jianfei, American Journal of Public Health, Linking Improvements in Health-Related Quality of Life to Reductions in Medicaid Costs Among Students Who Use School-Based Health Centers, Public Health, Environmental and Occupational Health |
| title | Linking Improvements in Health-Related Quality of Life to Reductions in Medicaid Costs Among Students Who Use School-Based Health Centers |
| title_full | Linking Improvements in Health-Related Quality of Life to Reductions in Medicaid Costs Among Students Who Use School-Based Health Centers |
| title_fullStr | Linking Improvements in Health-Related Quality of Life to Reductions in Medicaid Costs Among Students Who Use School-Based Health Centers |
| title_full_unstemmed | Linking Improvements in Health-Related Quality of Life to Reductions in Medicaid Costs Among Students Who Use School-Based Health Centers |
| title_short | Linking Improvements in Health-Related Quality of Life to Reductions in Medicaid Costs Among Students Who Use School-Based Health Centers |
| title_sort | linking improvements in health-related quality of life to reductions in medicaid costs among students who use school-based health centers |
| title_unstemmed | Linking Improvements in Health-Related Quality of Life to Reductions in Medicaid Costs Among Students Who Use School-Based Health Centers |
| topic | Public Health, Environmental and Occupational Health |
| url | http://dx.doi.org/10.2105/ajph.2009.185355 |