Measurement of Physiologic Health for Children

Volume 5, Anemia

by Betsy Foxman, Kathleen N. Lohr, Robert H. Brook


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The RAND Health Insurance Experiment (HIE) uses data on the prevalence and adverse impact of anemia to investigate the effects of differing levels of health insurance on health status and quality of care for children. Anemia was selected as an appropriate indicator for three reasons: (1) it is easy to diagnose and responds to treatment in most cases; (2) it is a common condition (especially among young children); and (3) it affects a child's overall well-being. Chapter 2 presents the HIE conceptualization of anemia in children and reviews pertinent measurement and diagnostic issues. Chapter 3 discusses the suitability of anemia as a measure of health status and quality of care for children in terms of its prevalence, associated morbidity, and response to medical care. Chapter 4 describes the HIE effect of this disorder for its participants. The experiment's results from enrollment procedures are presented in Chap. 5. Finally, Chap. 6 introduces the quality-of-care criteria for anemia that will be applied later in HIE analyses.

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