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The RAND Health Insurance Experiment (HIE) will use data on the prevalence and adverse impact of urinary tract infection (UTI) to investigate the effects of differing levels of health insurance on the health status of and quality of care for children. UTI was selected as an appropriate indicator because (1) it is a relatively common condition, (2) it is easy to diagnose and responds to treatment in most cases, and (3) it has potentially serious complications. This report presents the HIE conceptualization of UTI in children and reviews pertinent measurement and diagnostic issues; discusses the suitability of UTI as a measure of the health status and quality of care for children in terms of its prevalence, associated morbidity, and response to medical care; describes the HIE methods for determining the presence of UTI and for assessing the effect of this disorder; and introduces the quality-of-care criteria for UTI in children.

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