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• W2186300861 abstract "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<.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. Conclusions. Improvements in pediatric HRQOL translate into lower Medicaid costs, supporting the use of HRQOL as an outcome for evaluating SBHCs. (Am J Public Health. 2010;100:1611‐1616. doi:10.2105/AJPH.2009.185355)" @default.
• W2186300861 created "2016-06-24" @default.
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• W2186300861 date "2010-01-01" @default.
• W2186300861 modified "2023-09-27" @default.
• W2186300861 title "LinkingImprovementsinHealth-RelatedQualityofLifeto ReductionsinMedicaidCostsAmongStudentsWhoUse School-BasedHealthCenters" @default.
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