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Title
EPSDT impact on health status.
First Author
Irwin, Patrick H
Date of Pub
1981 Spring
Pages
25-39
Volume
2
Issue
4
Other Authors
Conroy-Hughes, Rosemary
Abstract
Early and Periodic Screening, Diagnosis and Treatment (EPSDT), a large-scale operational screening program which has generated a tremendous volume of data on the sociodemographic characteristics and health status of Medicaid-eligible children, seems to provide an ideal context within which to evaluate the effectiveness of preventive child health care. Concerns about health care expenditures generally, and the effectiveness of preventive child health services specifically, lead to the question of whether the impact on the health status of the children served can be measured without significantly adding to the cost of these services with primary data collection. We employed a quasi-experimental research design using administratively-generated data from an operational EPSDT program to estimate program impact on the prevalence of serious abnormalities among the children served. We found that, compared either to themselves across time or to a control group, a representative sample of 1831 children had almost 30 percent fewer abnormalities requiring care on rescreening. The ability to demonstrate the impact of EPSDT using these data suggests, among other things relevant to policy, that a national EPSDT monitoring system could be developed that would be cost-effective and could lead to program improvement.
Abstract Continued
N/A
MeSH
Health : Health Status : Child : Child Health Services/utilization : Evaluation Studies : Human : Multiphasic Screening/utilization : Pennsylvania : Statistics : Support, U.S. Gov't, P.H.S.
NTIS Number
PB82-130154