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The impact of a large-scale population-based asthma management program on pediatric asthma patients and their
Archelle Georgiou1, Deborah A Buchner, Daniel H Ershoff
1UnitedHealth Group, Minnetonka, Minnesota, USA.
Insights
A pediatric asthma management program significantly reduced asthma-related issues for children and caregivers. This disease management intervention improved quality of life and decreased healthcare utilization and missed work days.
Area of Science:
- Pediatric Pulmonology
- Health Services Research
- Public Health Interventions
Background:
- Pediatric asthma leads to significant burdens, including missed school, reduced activity, and increased healthcare costs.
- Caregivers experience work disruptions and decreased productivity due to their child's asthma.
- A comprehensive disease management program was implemented for asthmatic children and their caregivers within a national healthcare plan.
Purpose of the Study:
- To evaluate the 12-month impact of a pediatric asthma management program.
- To assess effects on both pediatric patients and their caregivers.
Main Methods:
- A longitudinal study involving 401 households with asthmatic children.
- Interventions included tailored educational materials, reminder aids, videos, peak flow meters, and telephonic case management.
- The Asthma Quality Assessment System survey measured quality of life, asthma knowledge, and lost work/school days.
Main Results:
- Significant reductions in adverse healthcare utilization and symptomatology for children.
- Decreased restricted activity days for pediatric patients.
- A notable decrease in lost work days for adult caretakers was observed.
Conclusions:
- A large-scale, population-based asthma intervention program yields measurable clinical benefits.
- The program demonstrated significant economic advantages by reducing healthcare utilization and work absenteeism.
- The intervention effectively lessened the overall burden of pediatric asthma on the family unit.
Background:
The consequences of pediatric asthma include missed school attendance, limitations in physical activity, and increased health care utilization and costs. Caregivers of asthmatic children are affected through missed work days and decreased job productivity. In response to these issues, a disease management program encompassing asthmatic children and their caregivers was developed as part of the core services offered to members of a large, national health care plan.
Objective:
To determine the impact of the asthma management program on pediatric asthma patients and their caregivers over a 12-month period.
Methods:
In this longitudinal study, 401 randomly selected member households with asthmatic children from 17 regional markets completed surveys before and after 12 months of participation in the asthma management program. Program interventions, which were tailored according to risk and need status, included various staggered educational mailings, reminder aids, videos, a peak expiratory flow rate meter, and telephonic case management. The Asthma Quality Assessment System survey, a battery of self-reported quality indicators, was used to solicit information from parents or caregivers of asthmatic children on issues pertaining to quality of life, asthma management skills and knowledge, and lost work/school days related to asthma.
Results:
Statistically significant postprogram outcomes were observed in various domains, including a reduction in adverse utilization, symptomatology, and restricted activity days for children and lost work days for adult caretakers.
Conclusions:
These findings demonstrate that a large-scale population-based intervention program can produce measurable clinical and economic benefits, thereby lessening the burden of asthma on the family unit.
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