Efficacy, cost effectiveness, and sustainability of a pediatric high risk asthma clinic

Pediatric Pulmonology
Nadia L KruppMichelle S Howenstine

Abstract

At our institution, a pediatric High Risk Asthma clinic has been in operation for over 15 years, targeting children with poorly controlled, and difficult to treat asthma. This study evaluates the outcomes and cost-effectiveness of the High Risk Asthma clinic from 2000 through 2014. A retrospective chart review was performed on all patients entering High Risk Asthma clinic from 2000-2014, and total hospitalizations and Emergency Department visits were tallied for the year prior to entering clinic and the year after. Costs incurred, and reimbursements obtained from payors were tallied to determine cost-effectiveness and sustainability. Consistent decreases in hospitalizations (51.2% decrease, P < 0.001) and Emergency Department visits (23.0% decrease, P = 0.048) were seen for patients entering High Risk Asthma clinic, with commensurate significant decreases in related costs. Reimbursements received for outpatient services were sufficient to offset operational costs of the High Risk Asthma clinic, when both clinic visit, and pulmonary function testing charges were included. A pediatric High Risk Asthma clinic model is efficacious in decreasing hospitalizations and Emergency Department visits for a difficult to treat population, an...Continue Reading

References

Dec 31, 1993·Patient Education and Counseling·V T Colland
Sep 1, 1996·American Journal of Respiratory and Critical Care Medicine·S SullivanK B Weiss
Mar 26, 1998·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·H J Farber
Jun 8, 2001·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·C Liu, C Feekery
Oct 10, 2002·The Journal of Allergy and Clinical Immunology·Sean D SullivanUNKNOWN National Cooperative Inner-City Asthma Study (NCICAS) Investigators
Apr 10, 2003·American Journal of Respiratory and Critical Care Medicine·Gordon R BloombergRobert C Strunk
Feb 2, 2006·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Marina ReznikPhilip O Ozuah
Aug 19, 2009·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Wade T A WatsonAllan B Becker
Jan 8, 2011·The Journal of Allergy and Clinical Immunology·Sarah Beth L Barnett, Tursynbek A Nurmagambetov
Mar 27, 2013·PharmacoEconomics·Don HusereauElizabeth Loder
Jun 5, 2013·Australian and New Zealand Journal of Public Health·Vittal Mogasale, Theo Vos
Mar 20, 2015·Chest·David GibeonUNKNOWN British Thoracic Society Difficult Asthma Network

❮ Previous
Next ❯

Related Concepts

Related Feeds

Asthma

This feed focuses in Asthma in which your airways narrow and swell. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.