The Healthcare Cost Burden of Asthma in Children: A Longitudinal Population-Based Study

Kabir Ahmad1, Rasheda Khanam1, Enamul Kabir2

  • 1School of Business and Centre for Health Research, University of Southern Queensland, Toowoomba, Queensland, Australia.

Insights

Childhood asthma significantly increases healthcare costs, burdening the public health system. Early prevention efforts are economically justified due to higher costs for asthmatic children.

Area of Science:

  • Public Health
  • Pediatric Health Economics
  • Respiratory Medicine

Background:

  • Childhood asthma represents a significant public health concern.
  • Understanding the economic impact of childhood asthma is crucial for resource allocation and policy development.

Purpose of the Study:

  • To investigate the population-level healthcare cost increase attributed to childhood asthma.
  • To examine the cross-sectional and longitudinal relationships between asthma prevalence and healthcare expenditures in children.

Main Methods:

  • Utilized data from the Longitudinal Study of Australian Children (LSAC) with linked Medicare cost data (2004-2018).
  • Included 4175 (birth cohort) and 4482 (kindergarten cohort) children aged 2-18 years.
  • Employed generalized linear models to estimate excess healthcare costs, encompassing Medicare Benefits Schedule and Pharmaceutical Benefits Scheme expenditures.

Main Results:

  • Total excess healthcare costs associated with childhood asthma were A$4316 per child.
  • Annual excess Medicare costs for childhood asthma treatment averaged A$190.6 million (2018 values).
  • Persistent asthma led to substantial excess costs, up to A$20,727 for the birth cohort and A$19,571 for the kindergarten cohort.

Conclusions:

  • Childhood asthma imposes a considerable financial burden on the Australian public health system.
  • The elevated healthcare costs associated with childhood asthma underscore the economic rationale for investing in preventive strategies.
  • Early intervention and prevention of childhood asthma are essential for mitigating long-term healthcare expenditures.
Abstract

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