Cost Analysis and Policy Implications of a Pediatric Palliative Care Program.

Context: In 2010, California launched Partners for Children (PFC), a pediatric palliative care pilot program offering hospice-like services for children eligible for full-scope Medicaid delivered concurrently with curative care, regardless of the child's life expectancy.

Objectives: We assessed the change from before PFC enrollment to the enrolled period in 1) health care costs per enrollee per month (PEPM), 2) costs by service type and diagnosis category, and 3) health care utilization (days of inpatient care and length of hospital stay).

Methods: A pre-post analysis compared enrollees' health care costs and utilization up to 24 months before enrollment with their costs during participation in the pilot, from January 2010 through December 2012.

College women: history of childhood abuse and its relationship to smoking.

Few studies have examined the influence of childhood abuse on smoking in women. The objective of the study was to determine if abuse in childhood is associated with increased risk for smoking in women. Two hundred ninety-six women completed an anonymous survey on childhood abuse and smoking.

Feasibility of school-based spirometry screening for asthma.

To determine the feasibility and value of spirometry in school-based asthma screening, spirometry testing was coupled with parent questionnaires in a school-based asthma screening project. Children in grades five to eight of the Catholic school system in Rochester, Minn., performed spirometry with coaching and data acquisition by nurses trained for this activity.