Abstract：
INTRODUCTION:The Rales Health Center is a comprehensive school-based health center at an urban elementary/middle school. Rales Health Center provides a full range of pediatric services using an enriched staffing model consisting of pediatrician, nurse practitioner, registered nurses, and medical office assistant. This staffing model provides greater care but costs more than traditional school-based health centers staffed by part-time nurses. The objective was to analyze the cost benefit of Rales Health Center enhanced staffing model compared with a traditional school-based health center (standard care), focusing on asthma care, which is among the most prevalent chronic conditions of childhood. METHODS:In 2016, cost-benefit analysis using a decision tree determined the net social benefit of Rales Health Center compared with standard care from the U.S. societal perspective based on the 2015-2016 academic year. It was assumed that Rales Health Center could handle greater patient throughput related to asthma, decreased prescription costs, reduced parental resources in terms of missed work time, and improved student attendance. Univariate and multivariate probabilistic sensitivity analyses were conducted. RESULTS:The expected cost to operate Rales Health Center was $409,120, compared with standard care cost of $172,643. Total monetized incremental benefits of Rales Health Center were estimated to be $993,414. The expected net social benefit for Rales Health Center was $756,937, which demonstrated substantial societal benefit at a return of $4.20 for every dollar invested. This net social benefit estimate was robust to sensitivity analyses. CONCLUSIONS:Despite the greater cost associated with the Rales Health Center's enhanced staffing model, the results of this analysis highlight the cost benefit of providing comprehensive, high-quality pediatric care in schools, particularly schools with a large proportion of underserved students.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Padula WV,Connor KA,Mueller JM,Hong JC,Velazquez GC,Johnson SBdoi
10.1016/j.amepre.2017.08.025subject
Has Abstractpub_date
2018-01-01 00:00:00pages
80-86issue
1eissn
0749-3797issn
1873-2607pii
S0749-3797(17)30480-4journal_volume
54pub_type
杂志文章abstract：BACKGROUND:Prior research has shown a high prevalence of sexual violence against women with disabilities. However, no previous population-based studies have examined such victimization against men with disabilities. PURPOSE:The purpose of this paper is to document the prevalence of lifetime and past-year sexual violen...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2011.07.014
更新日期：2011-11-01 00:00:00
abstract：BACKGROUND:A review of randomized controlled trials of weight-management interventions for pregnant or postpartum women was conducted to assess whether effective weight-management interventions exist for this population. METHODS:The MEDLINE, EMBASE, PsycINFO, Sociological Abstracts, and CINAHL databases were searched,...
journal_title：American journal of preventive medicine
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abstract：BACKGROUND:Prior economic analyses have reached disparate conclusions about whether vaccinating adults against pertussis would be cost effective. Newly available data on pertussis incidence were used to evaluate the cost effectiveness of one-time adult vaccination and adult vaccination with decennial boosters. METHODS...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2006.10.016
更新日期：2007-03-01 00:00:00
abstract：BACKGROUND:The Hmong immigrated to the United States from Laos after the Vietnam conflict ended. Hmong encounter numerous readjustment issues, including health care. Traditional Hmong health beliefs and practices encompass more spiritual than biological etiologies. Hmong usually seek the first course of treatment from ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2004.04.003
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abstract：INTRODUCTION:Exercise and dietary behavioral counseling are effective clinical practices recommended by the U.S. Preventive Services Task Force to reduce cardiovascular disease risk among high-risk individuals. METHODS:Medical Expenditure Panel Survey data from 2002 to 2015 were analyzed in 2018. Prevalence ratios of ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2020.07.008
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abstract：BACKGROUND:The death of a parent is a major family disruption that can place children at risk for later depression and other mental health problems. DESIGN:Theoretically based randomized controlled trial for parentally bereaved children. SETTING/PARTICIPANTS:Two-hundred and forty-four children and adolescents and the...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,随机对照试验
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abstract：INTRODUCTION:Five U.S. states have proposed policies to require health warnings on sugar-sweetened beverages, but warnings' effects on actual purchase behavior remain uncertain. This study evaluated the impact of sugar-sweetened beverage health warnings on sugar-sweetened beverage purchases. STUDY DESIGN:Participants ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.amepre.2019.06.019
更新日期：2019-11-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2010.05.013
更新日期：2010-09-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：
更新日期：1992-01-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.amepre.2010.08.013
更新日期：2010-12-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：
更新日期：1997-11-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2006.07.025
更新日期：2006-11-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2015.06.023
更新日期：2015-12-01 00:00:00
abstract：BACKGROUND:Children are best protected in motor vehicle collisions when properly using the appropriate restraint and sitting in a rear row. Racial and ethnic disparities have been reported in injury statistics and use of any restraint; however, predictors of safety seat use, being unrestrained, and sitting in the front...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2012.05.023
更新日期：2012-09-01 00:00:00
abstract：:Local, state, and national policies that limit the hours that alcoholic beverages may be available for sale might be a means of reducing excessive alcohol consumption and related harms. The methods of the Guide to Community Preventive Services were used to synthesize scientific evidence on the effectiveness of such po...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.amepre.2010.09.016
更新日期：2010-12-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2015.10.016
更新日期：2016-05-01 00:00:00
abstract：BACKGROUND:Low-density lipoprotein (LDL)-based guidelines are currently used to initiate and monitor cholesterol-lowering therapy. METHODS:Using stratified analyses, data from the Framingham Heart Study and the Coronary Primary Prevention Trial were evaluated to determine whether (1) cholesterol levels (total choleste...
journal_title：American journal of preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0749-3797(03)00092-8
更新日期：2003-07-01 00:00:00
abstract：INTRODUCTION:Several authors have explored the effect of individual risk factors on vaccination inequity in Indian infants. This study explores the combined impact of >1 risk factor on the probability of full vaccination. METHODS:The proportion of fully vaccinated infants (aged 1-2 years) was calculated from the Natio...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2020.10.001
更新日期：2021-01-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章,评审
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更新日期：2003-02-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2003.12.012
更新日期：2004-05-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：
更新日期：1986-05-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
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更新日期：2014-08-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
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更新日期：1998-05-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
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更新日期：2020-12-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章,评审
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更新日期：2014-09-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2003.10.014
更新日期：2004-02-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1995-07-01 00:00:00
abstract：BACKGROUND:Literature on food environments is expanding rapidly, yet a gap exists regarding the role of the U.S. Department of Agriculture's Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) on healthy food availability. In October 2009, the U.S. Department of Agriculture revised the WIC foo...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
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更新日期：2012-10-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
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更新日期：2006-09-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2011.06.025
更新日期：2011-10-01 00:00:00
