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  1. The cost of comprehensive preventive medical services for adolescents.

    Article - En anglais

    Objectives 

    To address the need for clinical preventive services for 11-to 21-year-old males and females and provide cost estimates for those services under a fee-for-service system.

    Preventive services include screening, health promotion, and immunizations.

    Design 

    The prevalence of adolescent morbidities was derived from national surveys.

    Estimated costs of these morbidities were obtained from published data and adjusted for 1992 dollars using the Consumer Price Index.

    The estimated costs of preventive services for adolescents under a fee-for-service system were derived from a 1993 survey of nine Blue Cross and Blue Shield plans and four insurance companies.

    Main Outcome Measures 

    The cost of adolescent morbidities includes only direct medical costs for a single year and excludes long-term and indirect costs.

    The cost of clinical preventive services is calculated at 100% participation levels.

    Results 

    Each year, an estimated $33.5 billion is spent on medical treatment for select adolescent morbidities, approximately $859 per adolescent per year ; this is a conservative estimate.

    The average cost of clinical preventive services per adolescent per year would be approximately $130 in a fee-for-service system, although these are not entirely « new » costs because payers already incur screening costs for some conditions.

    Conclusion 

    The cost-effectiveness of clinical interventions for various health risk behaviors among adolescents is unknown.

    Mots-clés Pascal : Prévention, Adolescent, Adulte jeune, Evaluation, Etats Unis, Analyse coût, Service santé, Risque, Maladie, Homme, Amérique du Nord, Amérique, Economie santé

    Mots-clés Pascal anglais : Prevention, Adolescent, Young adult, Evaluation, United States, Cost analysis, Health service, Risk, Disease, Human, North America, America, Health economy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0023810

    Code Inist : 002B30A03C. Création : 01/03/1996.