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Cost savings of developmental screenings: Evidence from a nationwide program

机译:节省发展筛查的成本:来自全国性计划的证据

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摘要

Early intervention is considered the optimal response to developmental disorders in children. We evaluate a nationwide developmental screening program for preschoolers in Austria and the resulting interventions. Identification of treatment effects is determined by a birthday cutoff-based discontinuity in the eligibility for a financial incentive to participate in the screening. Assigned preschoolers are 14.5 percentage points more likely to participate in the program. For participants with high socio-economic status (SES), we find little evidence for interventions and consistently no effect on healthcare costs in the long run. For low SES preschoolers, we find evidence for substantial interventions, but only weak evidence for cost savings in the long run. (C) 2016 Elsevier B.V. All rights reserved.
机译:早期干预被认为是对儿童发育障碍的最佳反应。我们评估了针对奥地利学龄前儿童的全国性发展筛查计划,并评估了干预措施。通过基于生日截止时间的不连续性来决定是否有经济诱因参加筛查,来确定治疗效果。分配的学龄前儿童参加该计划的可能性高14.5个百分点。对于具有较高社会经济地位(SES)的参与者,从长远来看,我们发现干预的证据很少,并且始终对医疗保健费用没有影响。对于SES较低的学龄前儿童,我们找到了进行实质性干预的证据,但从长远来看,只有很少的证据表明可以节省成本。 (C)2016 Elsevier B.V.保留所有权利。

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