During the 2015-2016 school year, the Florida Department of Health in Duval County hosted Teen Health Centers (TeenHC) at five high schools of Jacksonville providing HIV/STD screening and pregnancy testing. The purpose of this study was to assess the cost-effectiveness of the TeenHC chlamydia screening program and determine at what student…

Background: In school year (SY) 2014-2015, 128 schools in 24 districts and 14 states were randomly assigned to receive either onsite or online support to implement a school-based wellness program. The objective of this study was to assess the cost-effectiveness (CE) of the 2 models of implementation support: onsite and online. Methods: We adapted…

The few existing economic evaluations of community-based health promotion interventions were reported retrospectively at the end of the trial. We report an evaluation of the costs of the Kin Keeper(superscript SM) Cancer Prevention Intervention, a female family-focused educational intervention for underserved women applied to increase breast and…

This dissertation evaluates the impact of elementary school policies on child health behaviors and obesity in the United States. Two chapters address nutrition policies, two chapters address physical activity policies, and a final chapter estimates the health care cost savings associated with a decline in childhood obesity prevalence. The use of…

Background: A school-based obesity prevention study (Medical College of Georgia FitKid Project) started in the fall of 2003 in 18 elementary schools. Half of the schools were randomized to an after-school program that included moderate-to-vigorous physical activity, healthy snacks, homework assistance, and academic enrichment. All third graders…

Mental health programs, in addition to providing health services that are justifiable in a cost/benefit analysis, provide services promoting the quality of life which are not justifiable from this viewpoint, and which will (rightfully) be forced to compete with other humanistic university programs. (MB)

Four strategies for reducing health insurance rates are described: negotiate competitive prices, improve cash flow management, reduce claims frequency, and shift cost liability to individuals. (MD)

Comprehensive wellness programs, offered in hospitals, universities, and large and small businesses, generally involve a health assessment followed by intervention. This article describes assessment tools and procedures recommended for health enhancement programs. (MT)

Professor of community pediatrics at the University of California at San Diego describes several cost-effective approaches to implementing a school health program. Includes, for example, taping underutilized community resources, carefully screening school health requests, prioritizing student health problems. (PKP)

An innovative health program arrangement between the University of Maine at Presque Isle and a local hospital is described. The program served to provide cost effective health services for the university and outpatient clinic space for the hospital. (DS)

The National Preventive Dentistry Demonstration Program assessed the cost and effectiveness of various types and combinations of school-based preventive dental care procedures. The program involved 20,052 first, second, and fifth graders from five fluoridated and five non-fluoridated communities. These children were examined at baseline and…

This document presents Congressman Claude Pepper's report on the Medicare Home Care Benefit. Section I traces the history of home health care in the United States. Section II offers statistics and general background information about older Americans and Medicare. The beginning of the Medicare home care benefit and its present operation are…

Using a sample of graduate students at the Yale Health Plan, this paper reports on the costs and the medical findings of providing annual physical examinations in university health delivery systems. The role of alternative forms of health education are discussed, as well as recommendations for the continued efficacy of the annual physical…

Employee ill health causes high health costs. Employee "wellness" programs are instrumental in helping control rising health costs. Presents discussion on how to develop effective wellness programs and their benefits. Includes an employee survey. (MD)

Many higher education institutions today are struggling with the costs of their retiree health plans. The answer to controlling these costs may come in the form of a defined contribution retiree health plan for both current and future retirees. This article examines how such a plan can maximize availability of Medicare Part D prescription…