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- Title
Spending on Hospital Care and Pediatric Psychology Service Use Among Adolescents and Young Adults With Cancer.
- Authors
McGrady, Meghan E.; Peugh, James L.; Brown, Gabriella A.; Pai, Ahna L. H.
- Abstract
<bold>Objective: </bold>To examine the relationship between need-based pediatric psychology service use and spending on hospital care among adolescents and young adults (AYAs) with cancer.<bold>Methods: </bold>Billing data were obtained from 48 AYAs with cancer receiving need-based pediatric psychology services and a comparison cohort of 48 AYAs with cancer not receiving services. A factorial analysis of covariance examined group differences in spending for hospital care. Pending significant findings, a multivariate analysis of covariance was planned to examine the relationship between need-based pediatric psychology service use and spending for inpatient admissions, emergency department (ED) visits, and outpatient visits.<bold>Results: </bold>Spending for hospital care was higher among AYAs receiving need-based pediatric psychology services than in the comparison cohort (p < .001, ωPartial2 = .11). Group differences were driven by significantly higher spending for inpatient admissions and ED visits among AYAs receiving need-based pediatric psychology services.<bold>Conclusions: </bold>The behavioral and psychosocial difficulties warranting need-based pediatric psychology services may predict higher health care spending.
- Subjects
HOSPITAL care for cancer patients; CANCER in adolescence; CANCER in young adults; CHILD psychology; MEDICAL care for teenagers; YOUNG adults; MEDICAL care costs; CANCER treatment; MEDICAL care
- Publication
Journal of Pediatric Psychology, 2017, Vol 42, Issue 9, p1065
- ISSN
0146-8693
- Publication type
journal article
- DOI
10.1093/jpepsy/jsx001