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Related Experiment Videos

An economic analysis of developmental detection methods

F P Glascoe1, E M Foster, M L Wolraich

  • 1Division of Child Development, Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN 37232-3573, USA.

Pediatrics
|June 1, 1997
PubMed
Summary
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Early detection of developmental disabilities using parents' concerns is cost-effective for physicians. While all methods have benefits, this approach offers significant short-term savings in screening children.

Area of Science:

  • Pediatric Health
  • Developmental Psychology
  • Health Economics

Background:

  • Early detection of developmental disabilities is crucial for timely intervention and improved long-term outcomes.
  • Various screening methods exist, each with associated costs and benefits that impact healthcare providers and systems.
  • Understanding the economic implications of different screening approaches is vital for optimizing resource allocation.

Purpose of the Study:

  • To conduct a cost-benefit analysis of diverse early detection strategies for developmental disabilities.
  • To compare the financial implications and effectiveness of different screening methods in pediatric settings.

Main Methods:

  • Cost-benefit analysis utilizing data from published studies on developmental screening tests.

Related Experiment Videos

  • Evaluation of screening methods including parent concerns, Denver-II, and Battelle Developmental Inventory Screening Test.
  • Assessment of short-term costs (administration, interpretation, diagnosis, treatment) and long-term benefits (adult functioning).

    • Main Results:

    • No single screening approach demonstrated marked superiority when considering long-term costs and benefits.
    • Significant differences in short-term costs were observed among various screening methods.
    • Utilizing parents' concerns emerged as the least expensive method for physician administration and interpretation.

    Conclusions:

    • Physicians face substantial expenses in detecting developmental problems, with inadequate compensation for this essential service.
    • Health policymakers and payers should reassess current investment levels in early detection services provided by healthcare professionals.
    • Screening using parents' concerns presents a cost-effective alternative, offering considerable savings compared to other methods.