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Related Experiment Videos

Utilization patterns in an asthma intervention.

Jay M Portnoy1, Donna Jennings

  • 1Department of Health Management, Children's Mercy Hospitals and Clinics, Kansas City, Missouri 64108, USA. jportnoy@cmh.edu

Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology
|August 9, 2006
PubMed
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The Inner-City Asthma Intervention (ICAI) program, modeled on a previous study, did not significantly reduce emergency department visits or hospitalizations in children with asthma. Further research is needed to confirm its effectiveness in real-world settings.

Area of Science:

  • Public Health
  • Pediatric Asthma Management
  • Health Services Research

Background:

  • The National Cooperative Inner-City Asthma Study (NCICAS) demonstrated that a social worker-led asthma management model decreased symptom days and ED visits.
  • This model aimed to improve asthma control in urban pediatric populations.

Purpose of the Study:

  • To evaluate the real-world effectiveness of the Inner-City Asthma Intervention (ICAI) program, which was modeled on the NCICAS.
  • To determine if the ICAI program could replicate the positive outcomes of the NCICAS in a practical setting.

Main Methods:

  • Children with moderate to severe persistent asthma were enrolled in the 1-year ICAI program.
  • Retrospective data analysis compared emergency department (ED) visits and hospitalizations for 1 year before and after the intervention at two sites.

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  • Data from 93 children at Children's Mercy Hospital (CMH) and 77 at Baystate Medical Center were analyzed.

    • Main Results:

    • At CMH, annual ED visits were 0.38 before and 0.41 after the intervention. At Baystate, ED visits were 0.09 before and 0.15 after.
    • Hospitalizations at CMH increased from 0.06 to 0.12, and at Baystate from 0.03 to 0.04.
    • No statistically significant changes in ED visits or hospitalizations were observed post-intervention at either site.

    Conclusions:

    • Asthma self-management interventions show promise for reducing healthcare utilization in controlled settings.
    • The ICAI program's effectiveness in real-world conditions requires further investigation through prospective studies.
    • Real-world implementation may yield different outcomes compared to controlled research environments.