The CGHA asthma management program and its effect upon pediatric asthma admission rates

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Published on: November 4, 2010

E Martin1

  • 1Pediatrics Department, Group Health Associates, Cincinnati, OH 45220, USA.

Clinical Pediatrics
|August 23, 2001
PubMed

Insights

Cincinnati Group Health Associates (CGHA) reduced pediatric asthma hospitalizations by 60% from 1993-2000. This significant decline contrasts national trends, demonstrating the program's effectiveness in managing childhood asthma.

Area of Science:

  • Pediatric pulmonology
  • Healthcare management
  • Public health

Background:

  • Asthma is a leading cause of pediatric hospitalizations nationally.
  • Hospitalization rates remain high despite available outpatient treatments.
  • The Cincinnati Group Health Associates (CGHA) asthma management program has been operational since 1989.

Purpose of the Study:

  • To evaluate the impact of the CGHA asthma management program on pediatric asthma admissions.
  • To compare CGHA's pediatric asthma admission trends with national and community data.
  • To assess the program's effectiveness across different demographics and geographic areas.

Main Methods:

  • Longitudinal analysis of pediatric asthma admissions from 1993 to 2000.
  • Comparison of CGHA admission rates against national, community, and managed care network data.
  • Statistical analysis to determine the significance of observed trends.

Main Results:

  • CGHA pediatric asthma admissions decreased by 60% between 1993 and 2000.
  • This decline was statistically significant and contrasted with stable national trends.
  • An 80% reduction was observed in an urban pediatric center, and a 55% reduction in a managed care network.

Conclusions:

  • The CGHA asthma management program has significantly reduced pediatric asthma hospitalizations.
  • The program's success is independent of patient acuity, location, insurance, or age.
  • Effective asthma management programs can positively influence hospitalization rates, even against national trends.

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