Health care savings attributable to integrating guidelines-based asthma care in the pediatric medical home.

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  • Author(s): Grant R;Grant R; Bowen SK; Neidell M; Prinz T; Redlener IE
  • Source:
    Journal of health care for the poor and underserved [J Health Care Poor Underserved] 2010 May; Vol. 21 (2 Suppl), pp. 82-92.
  • Publication Type:
    Journal Article; Research Support, Non-U.S. Gov't
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Johns Hopkins University Press Country of Publication: United States NLM ID: 9103800 Publication Model: Print Cited Medium: Internet ISSN: 1548-6869 (Electronic) Linking ISSN: 10492089 NLM ISO Abbreviation: J Health Care Poor Underserved Subsets: MEDLINE
    • Publication Information:
      Publication: 2004- : Baltimore, MD : Johns Hopkins University Press
      Original Publication: Nashville, TN : Institute on Health Care for the Poor and Underserved, Meharry Medical College, c1990-
    • Subject Terms:
      Asthma/*therapy ; Child Health Services/*economics ; Cost Savings/*statistics & numerical data ; Primary Health Care/*economics; Adolescent ; Black or African American/statistics & numerical data ; Asthma/economics ; Asthma/ethnology ; Child ; Child, Preschool ; Follow-Up Studies ; Hispanic or Latino/statistics & numerical data ; Humans ; New York City ; Outcome and Process Assessment, Health Care ; Practice Guidelines as Topic ; Severity of Illness Index ; Urban Population ; Young Adult
    • Abstract:
      Objective: To estimate savings to health care system of a best-practice asthma intervention in primary care for inner-city children.
      Methods: Data were analyzed from National Heart, Lung and Blood Institute (NHLBI) Guidelines-based initial (n=244) and follow-up (n=202) asthma assessments of patients who received enhanced treatment in primary care. Savings were calculated using cost-of-illness model and compared with program cost.
      Results: Patients were about equally distributed between African American and Hispanic children (mean age = 7 years; range 36 months-19 years). Of those with persistent asthma, 36% had been prescribed a controller medication. This significantly improved on follow-up (p<.01). There were significant reductions in asthma severity (p<.05) and emergency department use (p<.01), and near-significant reduction in asthma hospitalizations (p=.059).
      Conclusion: Total annual savings attributable to clinical outcomes was $4,202,813 or $4,525 per patient with asthma. Total annual cost of the implementation was $390,169 or $420 per asthma patient. Conservatively estimated savings exceeded cost of intervention by nearly 11 to 1.
    • Publication Date:
      Date Created: 20100511 Date Completed: 20100713 Latest Revision: 20221207
    • Publication Date:
      20221213
    • Accession Number:
      10.1353/hpu.0.0308
    • Accession Number:
      20453378