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Published on: November 4, 2010
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
Summary
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.
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