title: Health care use among young children in day care. Results in a randomized trial of early intervention.
abstract: Exposure of young children to group day-care settings increases the risk of illness and may result in higher use of medical care. These observations raise concerns that the use of such settings for early intervention programs for low-birth-weight infants may increase the already high burden of medical care costs incurred by these children and their families. To address the question of medical care use associated with center-based care, we examined the hospital-based and ambulatory care reported for participants of the Infant Health and Development Program. This project is a multisite randomized trial of an early intervention program for preterm low-birth-weight infants with an intervention including 2 years of center-based care. The Intervention group did not differ in hospital-based care and averaged only two more physicians' visits over the 3-year observation period than the comparison group. We conclude that early intervention programs involving high-quality group care are not accompanied by substantial increases in health care use.
authors.affiliation: Infant Health and Development Program, Stanford, CA.
authors.forename: M C
authors.initials: MC
authors.lastname: McCormick
authors.forename: J
authors.initials: J
authors.lastname: Brooks-Gunn
authors.forename: S
authors.initials: S
authors.lastname: Shapiro
authors.forename: A A
authors.initials: AA
authors.lastname: Benasich
authors.forename: G
authors.initials: G
authors.lastname: Black
authors.forename: R T
authors.initials: RT
authors.lastname: Gross
mesh_terms: D000553:Ambulatory Care / Q000706:statistics & numerical data*; D002140:California; D002656:Child Day Care Centers; D002662:Child Health Services / Q000706:statistics & numerical data*; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature; D008297:Male; D012044:Regression Analysis