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 Citations (Scopus)

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
Externally publishedYes

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Patient-Centered Care
Asthma
Guidelines
Pediatrics
Delivery of Health Care
Primary Health Care
National Heart, Lung, and Blood Institute (U.S.)
Costs and Cost Analysis
Cost of Illness
Cost Savings
Practice Guidelines
Hispanic Americans
African Americans
Hospital Emergency Service
Hospitalization

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Health care savings attributable to integrating guidelines-based asthma care in the pediatric medical home. / Grant, Roy; Bowen, Shawn K.; Neidell, Matthew; Prinz, Timothy; Redlener, Irwin E.

In: Journal of Health Care for the Poor and Underserved, Vol. 21, No. 2 Suppl, 05.2010, p. 82-92.

Research output: Contribution to journalArticle

Grant, Roy ; Bowen, Shawn K. ; Neidell, Matthew ; Prinz, Timothy ; Redlener, Irwin E. / Health care savings attributable to integrating guidelines-based asthma care in the pediatric medical home. In: Journal of Health Care for the Poor and Underserved. 2010 ; Vol. 21, No. 2 Suppl. pp. 82-92.
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