Health care use and charges for adolescents enrolled in a title XXI program

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
Lise M YoungbladeElizabeth A Shenkman

Abstract

To examine the use patterns and charges for adolescents with special health care needs (ASHCN) and adolescents engaging in risky behaviors (ARB) and both (BOTH), compared with adolescents with no identified special health care or risky behavior diagnosis (ANIC) in a pool of adolescent enrollees eligible for Title XXI services. Claims and encounter data were used to classify 11,459 who had been enrolled in Florida's Healthy Kids Program for 2 consecutive years into 4 groups: ASHCN (n = 1363); ARB (n = 1801); BOTH (n = 773); and ANIC (n = 7522). Monthly per capita inpatient, outpatient, emergency room, and total use and charges were calculated and compared across groups using the Wilcoxon rank sum test, descriptive statistics, and odds ratios. The data indicated that ASHCN, ARB, and BOTH consume significantly more health care services than ANIC and that their higher use and charges are attributable not only to condition-related costs but also to their higher use of non-condition-related services as well. The data also revealed that adolescents with a special health care diagnosis (ASHCN and BOTH) had a higher percentage of costs owing to inpatient stays, whereas adolescents with a risky behavior diagnosis (ARB and BOTH) had a hig...Continue Reading

References

May 1, 1980·The Journal of School Health·R A Kalish, S Presseller
Oct 1, 1996·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·M J AtenK J Roghmann
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Citations

Mar 17, 2010·International Journal of Injury Control and Safety Promotion·Bonnie LeadbeaterIan Pike
Mar 31, 2009·Academic Pediatrics·Peter G SzilagyiTina L Cheng
Aug 23, 2008·The Journal of Pediatrics·Peter G SzilagyiUNKNOWN Association of Medical School Pediatric Department Chairs, Inc
Jan 31, 2007·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·Peter G SzilagyiAndrew W Dick
Apr 26, 2006·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Lise M YoungbladeElizabeth A Shenkman
May 18, 2007·Medical Care Research and Review : MCRR·Elizabeth ShenkmanDes Schatz
Apr 2, 2004·Inquiry : a Journal of Medical Care Organization, Provision and Financing·R Andrew Allison
Dec 8, 2007·Journal of Preventive Medicine and Public Health = Yebang Ŭihakhoe Chi·Tae Ho Yoon
Sep 26, 2013·European Journal of Public Health·Marzena TamborWim Groot

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