Item request has been placed!
×
Item request cannot be made.
×
Processing Request
School-Based Health Centers: Cost--Benefit Analysis and Impact on Health Care Disparities.
Item request has been placed!
×
Item request cannot be made.
×
Processing Request
- معلومة اضافية
- الموضوع:
- نبذة مختصرة :
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 $1352087 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. [ABSTRACT FROM AUTHOR]
- نبذة مختصرة :
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
No Comments.