BACKGROUND Since household time and financial resources for health care are primarily spent for those household members with the most urgent health needs, individuals residing with persons in poor health may be at risk of underusing health-care services. We examined whether these individuals had a lower use of primary, specialty and preventive care than those who did not reside with persons in ...

Today’s cost-conscious political environment subjects the economic implications of proposed health care expenditures to careful scrutiny. This paper examines both the logic of and the evidence on preventive health care activities’ ability to serve the objective of health cost containment. Following a brief introduction to benefit-cost analysis. the paper presents a prevention activity classific...

Overview The topic, children of alcoholics (COA), has not been previously addressed by the Canadian Task Force on the Periodic Health Examination. However, related topics, such as fetal alcohol syndrome and problem drinking, have been covered elsewhere in this book. The focus of this report is children aged 0 to 18 years, who live with an alcoholic, or alcohol-abusing parent. Clinical and resea...

Jane B. Bassewitz, MA This document is copyrighted and is property of the American Academy of Pediatrics and its Board of Directors. All authors have filed conflict of interest statements with the American Academy of Pediatrics. Any conflicts have been resolved through a process approved by the Board of Directors. The American Academy of Pediatrics has neither solicited nor accepted any commerc...

BACKGROUND Little is known about the effect of different forms of patient cost-sharing on the utilization of clinical preventive services or if the effect varies by type of health plan. OBJECTIVES To assess empirically the relationships between the utilization of recommended preventive services and different forms of patient cost-sharing and how the effect is mediated by type of preventive se...

OBJECTIVE To understand how early childhood developmental services are provided in other countries in comparison with the United States. BACKGROUND Recent surveys document gaps in developmental services provided in the United States. Understanding pediatrician roles in other industrialized countries may shed light on how to meet emerging professional expectations around health promotion care ...

In this article, we measure the extent to which California Medicaid children in 1981 received preventive care services through either the regular or the Early and Periodic Screening, Diagnosis, and Treatment component of Medicaid. On average, 62 percent of children up to 15 years of age who were continuously enrolled for that year had no preventive care visits, with the percentage increasing wi...

Prevention has been a main issue of recent policy orientations in health care. This renews the interest on how different organizational designs and the definition of payment schemes to providers may affect the incentives to provide preventive health care. We focus on the externality resulting from referral decisions from primary to acute care providers. This makes our analysis complementary to ...

BACKGROUND Potentially preventable chronic diseases are the greatest contributor to the health gap between Aboriginal and Torres Strait Islander peoples and non--Indigenous Australians. Preventive care is important for earlier detection and control of chronic disease, and a number of recent policy initiatives have aimed to enhance delivery of preventive care. We examined documented delivery of ...