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

Roy Grant, Shawn K. Bowen, Matthew Neidell, Timothy Prinz, Irwin E. Redlener

Research output: Contribution to journalArticle

10 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)82-92
Number of pages11
JournalJournal of health care for the poor and underserved
Volume21
Issue number2 Suppl
StatePublished - May 2010

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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