Quality of Life Changes and Health Care Charges Among Youth With Epilepsy

被引：13

作者：

Ryan, Jamie L. ^{[1
]}

McGrady, Meghan E. ^{[1
]}

Guilfoyle, Shanna M. ^{[1
]}

Follansbee-Junger, Katherine ^{[1
]}

Peugh, James L. ^{[1
]}

Loiselle, Kristin A. ^{[1
]}

Arnett, Alex D. ^{[1
]}

Modi, Avani C. ^{[1
]}

机构：

[1] Cincinnati Childrens Hosp Med Ctr, Div Behav Med & Clin Psychol, 3333 Burnet Ave,MLC 7039, Cincinnati, OH 45229 USA

来源：

JOURNAL OF PEDIATRIC PSYCHOLOGY | 2016年 / 41卷 / 08期

关键词：

health care charges; health care utilization; health-related quality of life; pediatric epilepsy; psychosocial functioning; CHILDREN; PEDSQL(TM)-4.0; COSTS; RELIABILITY; FUTURE;

D O I：

10.1093/jpepsy/jsv098

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

ObjectiveaEuro integral To examine differences in health care charges following a pediatric epilepsy diagnosis based on changes in health-related quality of life (HRQOL).aEuro integral MethodsaEuro integral Billing records were obtained for 171 youth [M (SD) age = 8.9 (4.1) years] newly diagnosed with epilepsy. Differences in health care charges among HRQOL groups (stable low, declining, improving, or stable high as determined by PedsQL((TM)) scores at diagnosis and 12 months after diagnosis) were examined.aEuro integral ResultsaEuro integral Patients with persistently low or declining HRQOL incurred higher total health care charges in the year following diagnosis (g = .49, g = .81) than patients with stable high HRQOL after controlling for epilepsy etiology, seizure occurrence, and insurance type. These relationships remained consistent after excluding health care charges for behavioral medicine or neuropsychology services (g = .49, g = .80). ConclusionsaEuro integral Monitoring HRQOL over time may identify youth with epilepsy at particular risk for higher health care charges.

引用

页码：888 / 897

页数：10

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