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Cost-effectiveness of the School-Based Asthma Therapy (SBAT) program

Katia Noyes1, Alina Bajorska, Susan Fisher

  • 1Department of Surgery, University of Rochester Medical Center, Rochester, NY 14642, USA. katia_noyes@urmc.rochester.edu

Pediatrics
|February 13, 2013
PubMed

Insights

The School-Based Asthma Therapy (SBAT) program significantly improves asthma symptom-free days for urban children. This asthma intervention is also cost-effective, offering savings compared to usual care.

Area of Science:

  • Pediatric Pulmonology
  • Public Health Interventions
  • Health Economics

Background:

  • Urban children face disproportionately high asthma rates.
  • Preventive asthma medication underuse is common in this population.
  • Existing care models may not adequately address asthma management in schools.

Purpose of the Study:

  • To evaluate the cost-effectiveness of the School-Based Asthma Therapy (SBAT) program.
  • To compare SBAT with usual care (UC) for pediatric asthma management.
  • To assess the impact of school-based asthma interventions on health outcomes and costs.

Main Methods:

  • A randomized trial involving 525 urban children (3-10 years) with asthma.
  • Intervention group received daily preventive medication at school; control group received usual care.
  • Outcomes measured included symptom-free days (SFDs), healthcare costs, and parental productivity losses.

Main Results:

  • SBAT yielded approximately 158 additional SFDs per 100 children per 30 days (P < .05).
  • The program incurred an additional cost of $4822 per 100 children monthly.
  • Net savings of $3240 per 100 children monthly were observed, with an incremental cost-effectiveness ratio of $10 per SFD gained.

Conclusions:

  • The School-Based Asthma Therapy (SBAT) program is effective in reducing asthma symptoms in urban children.
  • SBAT demonstrates significant cost-effectiveness compared to usual care.
  • School-based asthma management programs offer a viable strategy for improving pediatric asthma outcomes.
Abstract

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