HEALTH-CARE USE AMONG YOUNG-CHILDREN IN DAY-CARE - RESULTS IN A RANDOMIZED TRIAL OF EARLY INTERVENTION

被引:24
作者
MCCORMICK, MC
BROOKSGUNN, J
SHAPIRO, S
BENASICH, AA
BLACK, G
GROSS, RT
机构
[1] INFANT HLTH & DEV PROGRAM,STANFORD,CA
[2] HARVARD UNIV,SCH MED,DEPT PEDIAT,DIV NEONATOL,BOSTON,MA 02115
[3] EDUC TESTING SERV,PRINCETON,NJ 08541
[4] JOHNS HOPKINS UNIV,SCH HYG & PUBL HLTH,CTR HLTH SERV RES & DEV,BALTIMORE,MD 21218
[5] RUTGERS STATE UNIV,CTR MOLEC & BEHAV NEUROSCI,NEWARK,NJ 07102
来源
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION | 1991年 / 265卷 / 17期
关键词
D O I
10.1001/jama.265.17.2212
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Exposure of young children to group day-care settings increases the risk of illness and may result in higher use of medical care. These observations raise concerns that the use of such settings for early intervention programs for low-birth-weight infants may increase the already high burden of medical care costs incurred by these children and their families. To address the question of medical care use associated with center-based care, we examined the hospital-based and ambulatory care reported for participants of the Infant Health and Development Program. This project is a multisite randomized trial of an early intervention program for preterm low-birth-weight infants with an intervention including 2 years of center-based care. The Intervention group did not differ in hospital-based care and averaged only two more physicians' visits over the 3-year observation period than the comparison group. We conclude that early intervention programs involving high-quality group care are not accompanied by substantial increases in health care use.
引用
收藏
页码:2212 / 2217
页数:6
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