Cost-effectiveness of an Evidence-Based Childhood Asthma Intervention in Real-World Primary Care Settings

The Journal of Ambulatory Care Management
Avi DorAnne Markus

Abstract

We present an incremental cost-effectiveness analysis of an evidence-based childhood asthma intervention (Community Healthcare for Asthma Management and Prevention of Symptoms [CHAMPS]) to usual management of childhood asthma in community health centers. Data used in the analysis include household surveys, Medicaid insurance claims, and community health center expenditure reports. We combined our incremental cost-effectiveness analysis with a difference-in-differences multivariate regression framework. We found that CHAMPS reduced symptom days by 29.75 days per child-year and was cost-effective (incremental cost-effectiveness ratio: $28.76 per symptom-free days). Most of the benefits were due to reductions in direct medical costs. Indirect benefits from increased household productivity were relatively small.

References

Oct 10, 2002·The Journal of Allergy and Clinical Immunology·Sean D SullivanUNKNOWN National Cooperative Inner-City Asthma Study (NCICAS) Investigators
Sep 10, 2004·The New England Journal of Medicine·Wayne J MorganUNKNOWN Inner-City Asthma Study Group
Nov 9, 2005·The Journal of Allergy and Clinical Immunology·Meyer KattanHerman E Mitchell
Jul 27, 2011·American Journal of Preventive Medicine·Tursynbek A NurmagambetovUNKNOWN Task Force on Community Preventive Services
Sep 6, 2011·Pediatrics·Douglas E LevyNancy A Rigotti
Oct 22, 2011·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Manuel GomesSimon G Thompson
Jun 1, 2017·Pediatrics·Suzanne KennedyHerman Mitchell

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Citations

Oct 23, 2020·Health Services Research·Qian LuoPatricia Pittman
Feb 17, 2021·Allergy, Asthma, and Clinical Immunology : Official Journal of the Canadian Society of Allergy and Clinical Immunology·Mei ChanNusrat Homaira

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