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Outcomes evaluation of a comprehensive intervention program for asthmatic children enrolled in medicaid

C S Kelly1, A L Morrow, J Shults

  • 1Division of Pulmonary, Allergy and Immunology, Eastern Virginia MedicalSchool, Norfolk, VA, USA. ckelly@chkd.com

Pediatrics
|May 3, 2000
PubMed

Insights

A comprehensive asthma intervention program significantly reduced emergency department visits and hospitalizations in Medicaid-insured children. This program also led to substantial healthcare cost savings for asthma management.

Area of Science:

  • Pediatric Allergy and Immunology
  • Health Services Research
  • Public Health

Background:

  • Asthma is a significant chronic respiratory disease affecting children, particularly those insured by Medicaid.
  • Frequent exacerbations lead to high healthcare utilization and costs.
  • Effective interventions are crucial for managing pediatric asthma and improving outcomes.

Purpose of the Study:

  • To assess the impact of a comprehensive asthma intervention program on healthcare utilization and financial outcomes in Medicaid-insured children with asthma.
  • To determine the cost-effectiveness of asthma education and outreach programs.

Main Methods:

  • A controlled clinical trial was conducted involving 80 children (2-16 years) with frequent asthma-related emergency care use.
  • The intervention group received specialized asthma education and medical treatment, supported by monthly outreach nursing contact.
  • Outcomes measured included emergency department visits, hospitalizations, and healthcare charges in the year post-intervention.

Main Results:

  • The intervention group showed a decrease in mean emergency department visits from 3.5 to 1.7 per patient and hospitalizations from 0.6 to 0.2 per patient.
  • Asthma-related healthcare charges decreased by $721 per child per year in the intervention group, compared to $178 in the control group.
  • While both groups saw reductions, the intervention group experienced significantly greater improvements.

Conclusions:

  • A comprehensive asthma intervention program, including education and outreach, is effective in improving health outcomes for Medicaid-insured children with asthma.
  • The program demonstrated a significant reduction in healthcare utilization and associated costs.
  • This approach offers a viable strategy for managing pediatric asthma in underserved populations.
Abstract

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