Sergio García-Vicente, Rosa de Ramón-Frías, Miguel Ángel Máñez-Ortiz
[Descriptive analysis of hospital activity indicators published by the Autonomous Regional Governments in the Spanish National Health System.]
Revista espanola de salud publica
parentcorps familycentered enhancement prekindergarten programming elementary schools early education centers implemented highpoverty urban elementary schools serving primarily black latino children found yield benefits childhood across domains academic achievement behavior problems obesity however longterm costeffectiveness unknown determined costeffectiveness parentcorps highpoverty urban schools using markov model projecting longterm impact parentcorps compared standard prekindergarten programming measured costs quality adjusted life years qalys resulting development three disease states ie drug abuse obesity diabetes health sequelae disease states graduation high school interaction judiciary system opportunity costs unemployment lifetime time horizon model built analyses performed 20152016 parentcorps estimated save 4387 per individual increase individuals quality adjusted life expectancy 027 qalys benefits primarily due impact parentcorps childhood obesity subsequent predicted prevention diabetes parentcorps impact childhood behavior problems subsequent predicted prevention interaction judiciary system unemployment results robust sensitivity analyses parentcorps remaining cost saving health generating nearly assumptions except schools small prekindergarten programs effective familycentered interventions early life parentcorps impact academic behavioral health outcomes among children attending highpoverty urban schools potential result longerterm health benefits substantial cost savings