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SAMPLE, DESIGN, & INTERVENTIONACHIEVEMENTMEASUREeducation classes) wereasked to children andparents.OUTCOMESelection criteria related to asthma: 1. Medical recordsaccording to American Thoracic Society. 2. One episodeof wheezing in past year reported from parent or doctor.Study design: Cross-sectionalSchool records for subsample of 50.40% of parents reported their children had some problems in schools, mostof them being school absence and reading difficulties or languageproblems for Spanish–speaking parents. 17% of children were required torepeat the year.70% of parents reported they discussed asthma with the teachers andspecifically, absences, restriction of activities and administration ofmedicines. Problems included management of asthma at school, when tobe absent from school and how to keep up with school when missing.Parents reported that one of the problematic classes was physicaleducation. Half of the parents reported partly or complete restriction ofactivities posed to their children or sometimes teachers would not permitchildren to rest when needed.Gutstadt (1989)Sample: N = 99 children between ages of 9 and 17 years(mean age [+- SD], 12.7+- 2.2 years) with moderatelysevere and severe asthma. Mean age at onset andevaluation of asthma 2 and 12 years respectively.Study Design: Cross sectionalAcademic Performancetests:For age 9 to 12 yrs –Woodcock ReadingMastery Test, KeyMath DiagnosticArithmetic Test.For age 13 to 17 yrs –Woodcock-JohnsonPsychoEducationalBattery (part II test ofachievement).Performance in standardized academic test was average to above average.Mean T scores were 52.5 and 52.4 for reading and mathematicsrespectively. (Mean in normal population=50)IQ score test were above and average above correlating with mathematicsand reading (r 2 =.55 and r 2 =.38 respectively).Academic performance correlated significantly with use of oral steroids inpreceding year and socioeconomic status.Earlier onset of disease and longer duration were associated with lowperformance.Intelligence testing withSlosson IntelligenceTestsPoor behavioral and emotional functioning was associated with lowperformance. CBCL was significantly correlated with performance (math,r= -.39 and P=.0002; reading, r= -.29 and P=.007)Psychologicalassessment withstandardized ChildBehavioral Checklist(CBCL)Lack of correlation, surprisingly, between academic performance andschool absenteeism.Lindgren(1992)Sample: N = 356 children aged 6 to 18 years-old (255children with asthma who were seen for asthma at twosubspecialty clinic in Iowa during a one year period in1989 and 1990; 101 control siblings)Academic achievementassessed by Iowa Testsof Basic Skills (ITBS)for grades 1 through 8.Total children with asthma scored 0.6 to 0.8 SD above the national averagefor three subject areas on ITED and ITBS. Mean composite T-score = 57.1(expected mean [+-SD] 50 +-10)E-67
SAMPLE, DESIGN, & INTERVENTIONStudy design: Cross sectional and matched case-controlstudy for a sub sample????O’Neil (1985) Sample: N = 4,036 students aged 5 to 15 years-old (102children diagnosed with asthma, 139 with chronicbronchitis, and 45 with both (total=286)).Study design: Cross-sectionalAsthma Measures: 21- items survey based on aquestionnaire related to asthma and chronic bronchitis byConnecticut Lung AssociationPadur (1995) Sample: N = 100 children, aged 8 to 16 yrs, (mean =11.5 yrs, SD =2.5), 52 girls and 48 boys. 75 Caucasian,13 African-American, 12 other.25 children with asthma; 25 children with cancer, 25with diabetes and 25 healthy children served as controlgroups. Time since chronic disease diagnosis was 6months or more.ACHIEVEMENTMEASUREIowa Tests ofEducationalDevelopment (ITED)for grades 9 through 12.Academic subject areastested were: reading,mathematics, andcomposite achievementscore.School records onchildren’ schoolperformance.Child BehaviorChecklist (CBCL) forbehavior problems andsocial competence.Child DepressionInventory – 27 itemquestionnaire self-OUTCOMESolely 4.8 % of 255 children had low scores in at least one achievementarea.Achievement scores (composite scores on ITED or ITBS) were correlatedwith parental education, (correl.coef. 0.27 and p
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Appendix ATask Force Members and St
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Hector Balcazar, Ph.D.Regional Dean
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Charles Haley, M.D., M.S.Medical Di
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Michael McKinney, M.D.Senior Execut
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M. Roy Wilson, M.D.PresidentTexas T
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Appendix BMedicaid and the State Ch
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services. There are two broad types
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Mandatory and Optional Covered Popu
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• Nurse-midwife services;• Fede
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Disproportionate Share Hospital Pro
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March 13, 2001, that limited the am
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year from FFY 2002-2004, $4.05 bill
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Medicaid beneficiaries. Section 191
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started in 2001 and 2002 to curb in
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urban and with fewer than 250,000 p
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Protection Act of 2000 and the Medi
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orientation). Recipients of Supplem
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enrollee is assigned a primary care
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Table 7. Texas Medicaid Policy Chan
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Table 8. Texas SCHIP Policy Changes
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families (through the employer’s
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share of the match must come from t
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Reinstating the Medically Needy Spe
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Endnotes1 Texas Health and Human Se
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35 Powers, Pyles, Sutter, and Vervi
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73 Office of Management and Budget,
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113 TexCare, Children’s Health In
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150 Lyndon B. Johnson School of Pub
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States by Groupings with Current El
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Medicaid and the State Children’s
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Graduate Medical Education ProgramA
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needs, however, there is a shortage
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15 Texas Association of Counties,
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ecording and evaluation; physical e
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Medicaid and the State Children’s
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ReferencesAmerican Academy of Pedia
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downloads/bipa.pdf#search='Medicare
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Texas Health and Human Services Com
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Appendix CAn Analysis of Reform Opt
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Encouraged by these low rates, Cong
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Establishing state-only tax incenti
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New York passed the Health Care Ref
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Hospital Cost Containment — Maryl
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dollar spent. 237 Texas spent almos
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Another option for small businesses
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• Medical equipment and supplies,
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pay the premiums for Medicaid benef
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Medicaid to children born after Sep
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Bill of Rights or “TABOR”; and
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The federal share for CHP+ is 65 pe
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SCHIP: increased eligibility in CHP
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• Medical equipment and supplies
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6. Funds obtained through the recov
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Status ReportMaineCare Program Expa
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the federal poverty level. 404 Sinc
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need their jobs as a source of empl
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Endnotes191 Deborah Chollet, Issue
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225 Ibid.226 Maryland Health Care C
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259 Kaiser Family Foundation, State
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SCHIP&subcategory=Medicaid+Spending
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325 Kaiser Family Foundation, State
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361 State Coverage Initiatives, Sta
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SCHIP&subcategory=SCHIP&topic=Feder
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An Analysis of Reform Options Devel
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ReferencesAdvantage Insurance and F
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Donnell-Kay Foundation. “Amendmen
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Kaiser Family Foundation. Demograph
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State Coverage Initiatives. Profile
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Appendix DLocal Initiatives to Expa
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with more coordinated services that
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FinancingSources of revenue include
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AdministrationThe Health and Hospit
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Until 1993, Denver Health (DH) was
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different benefit plans are offered
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Cost SharingPatient cost-sharing is
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management programs. I-Care promote
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the county indigent care plan. Bene
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Firstplan xxvi,12Moore County, Mich
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Benefits and ServicesEnrollees can
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EligibilityAs of 2005, enrollment i
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etween $23 and $120 per month. Ther
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Healthcare Accountability Act xxxvi
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Coordination - When health care age
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subsidized initiatives offer exposu
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arriers, two health plans attempted
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xxi Simmons, Sandy Coe, Gionfriddo,
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Table 1 (Continued). Local Care Ini
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Table 2 (Continued). Local Coverage
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Appendix EEducation and Health:A Re
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The human capital approach suggests
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etween standardized test scores (St
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INTRODUCTIONEducation plays a wide
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of children with chronic health con
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Implications. Given the current pre
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DiabetesPrevalence. Diabetes in chi
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Limitations. The cross-sectional de
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chronic lung disease, cystic fibros
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significant differences between tho
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Table 1. Prevalence of Selected Chr
Page 202 and 203: findings of lower test scores are b
Page 204 and 205: al (McKewen et al., 1998) report a
Page 206 and 207: Section 3. School-Based Interventio
Page 208 and 209: mathematics, science and oral expre
Page 210 and 211: Table 4. Summary of Research Findin
Page 212 and 213: etween SES and health is a dose-res
Page 214 and 215: Self-Rated Health. Evidence accumul
Page 216 and 217: economic hardship. One of the skill
Page 218 and 219: Education also improves the stabili
Page 220 and 221: sex in the expectation of a more pr
Page 222 and 223: TABLE 6. SUMMARY OF EXPLANATIONS FO
Page 224 and 225: According to the Census 2000 data,
Page 226 and 227: Policy Reports Recommendations (Tot
Page 228 and 229: Section 2. Recommendations on Schoo
Page 230 and 231: Childhood ConditionsSchool-based Pr
Page 232 and 233: Childhood ConditionsDiabetes (n=11)
Page 234 and 235: eduction in reading test scores com
Page 236 and 237: Table 10. Estimates of the Cost of
Page 238 and 239: National Asthma Education and Preve
Page 240 and 241: REFERENCESAck, M., Miller, I., & We
Page 242 and 243: Elo, I. T., & Preston, S. H. (1996)
Page 244 and 245: Kaemingk, K. L., Pasvogel, A. E., G
Page 246 and 247: Miller, D. S., & Miller, T. Q. (199
Page 248 and 249: Ross, C. E., & Wu, C. L. (1996). Ed
Page 250 and 251: Williams, D. R. (1990). Socioeconom
Page 254 and 255: SAMPLE, DESIGN, & INTERVENTIONStudy
Page 256 and 257: SAMPLE, DESIGN, & INTERVENTIONACHIE
Page 268 and 269: SICKLE CELL ANEMIAArmstrong(1996)SA
Page 272 and 273: SAMPLE, DESIGN, & INTERVENTIONSickl
Page 274 and 275: SAMPLE, DESIGN, & INTERVENTIONhemog
Page 278 and 279: SAMPLE, DESIGN, & INTERVENTIONStudy
Page 280 and 281: Curriculum Content: Statute §28.00
Page 282 and 283: • HEALTH PROMOTING ENVIRONMENTSch
Page 284 and 285: • COORDINATION/IMPLEMENTATIONCoor
Page 286 and 287: Education and Health: A Review and
Page 288 and 289: Appendix FState Regulation of Healt
Page 290 and 291: coverage they offer. 14 By 2004 onl
Page 292 and 293: poor health may make coverage more
Page 294 and 295: account for most, or even much, of
Page 296 and 297: More active state intervention in t
Page 298 and 299: Table 3 (GAO Appendix IV) shows whi
Page 300 and 301: Appendix GEmergency and Trauma Care
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The treatment of shock prior to sur
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the EMS needs in rural areas of the
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Level IV trauma centers should be a
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Table 2. Trends in Trauma Severity,
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the hospitals were on diversion or
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Representative Delisi was successfu
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Mental Health Access ChallengesCare
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fhttp://www.techproservices.net/his
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oohttp://www.saveourers.org/reports
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Appendix HBrief: Consulate ClinicDe
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In addition, the roundtable discuss
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clinic(s) affiliated with medical s
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Appendix ICommon Abbreviations
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HMOHRQOLHRSAICF/MRIHCTAIOMISSLBBLIU
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Appendix JPresentersDate/Location:
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Appendix KProvider Taxes: A Differe
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were previously categorized as char
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