Outcomes Evaluation of a Comprehensive Intervention Program for Asthmatic Children Enrolled in Medicaid

To evaluate health care and financial outcomes in a population of Medicaid-insured asthmatic children after a comprehensive asthma intervention program. Controlled clinical trial. Pediatric allergy clinic in an urban, tertiary care children's hospital. Eighty children, 2 to 16 years old, with a...

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Bibliographic Details
Published in:Pediatrics (Evanston) 2000-05, Vol.105 (5), p.1029-1035
Main Authors: Kelly, Cynthia Szelc, Morrow, ArdyL, Shults, Justine, Nakas, Nermina, Strope, Gerald L, Adelman, Raymond D
Format: Article
Language:English
Subjects:
Adolescent
Asthma
Asthma - therapy
Asthma in children
Biological and medical sciences
Care and treatment
Child
Child Health Services - economics
Child Health Services - statistics & numerical data
Child, Preschool
Childhood asthma
Children & youth
Chronic obstructive pulmonary disease, asthma
Costs and Cost Analysis
Health care
Humans
Intervention
Medicaid
Medical sciences
Outcome Assessment (Health Care)
Patient Education as Topic
Pediatrics
Pneumology
Preventive Health Services - economics
Preventive Health Services - statistics & numerical data
Program Evaluation
Quality of Life
Risk
Services
United States
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Summary:To evaluate health care and financial outcomes in a population of Medicaid-insured asthmatic children after a comprehensive asthma intervention program. Controlled clinical trial. Pediatric allergy clinic in an urban, tertiary care children's hospital. Eighty children, 2 to 16 years old, with a history of frequent use of emergent health care services for asthma. Intervention. Children in the intervention group received asthma education and medical treatment in the setting of a tertiary care pediatric allergy clinic. An asthma outreach nurse maintained monthly contact with the families enrolled in the intervention group. Emergency department (ED) visits, hospitalizations, and health care charges per patient in the year after enrollment. Baseline demographics did not differ significantly between the 2 groups. In the year before the study, there were no significant differences between intervention and control children in ED visits (mean, 3.5 per patient), hospitalizations (mean,.6 per patient) or health care charges ($2969 per patient). During the study year, ED visits decreased to a mean of 1.7 per patient in the intervention group and 2.4 in controls, while hospitalizations decreased to a mean of.2 per patient in the intervention group and.5 in the controls. Average asthma health care charges decreased by $721/child/year in the intervention group and by $178/patient/year in the control group. A comprehensive asthma intervention program for Medicaid-insured asthmatic children can significantly improve health outcomes while reducing health care costs.asthma education, health care outcomes, Medicaid, asthma outreach, utilization.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.105.5.1029