Soili Alanne, Ella Koivuniemi, Eliisa Löyttyniemi, Kirsi Laitinen
Elementary School-Aged Children's and Parents' Report of Health-Related Quality of Life and Relationships with Lifestyle Measures: A Cross-Sectional Study
Nutrients
rales health center comprehensive schoolbased health center urban elementarymiddle school rales health center provides full range pediatric services using enriched staffing model consisting pediatrician nurse practitioner registered nurses medical office assistant staffing model provides greater care costs traditional schoolbased health centers staffed parttime nurses objective analyze cost benefit rales health center enhanced staffing model compared traditional schoolbased health center standard care focusing asthma care among prevalent chronic conditions childhood 2016 costbenefit analysis using decision tree determined net social benefit rales health center compared standard care us societal perspective based 20152016 academic year assumed rales health center could handle greater patient throughput related asthma decreased prescription costs reduced parental resources terms missed work time improved student attendance univariate multivariate probabilistic sensitivity analyses conducted expected cost operate rales health center 409120 compared standard care cost 172643 total monetized incremental benefits rales health center estimated 993414 expected net social benefit rales health center 756937 demonstrated substantial societal benefit return 420 every dollar invested net social benefit estimate robust sensitivity analyses despite greater cost associated rales health centers enhanced staffing model results analysis highlight cost benefit providing comprehensive highquality pediatric care schools particularly schools large proportion underserved students