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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.
Objectives:
This study aimed to investigate the extent of healthcare cost increase at population level due to childhood asthma. We aimed to investigate the cross-sectional relationship between asthma and healthcare costs among children aged 2 to 18 years and, in longitudinal analyses, whether costs increase with an increase in the duration of asthma prevalence.
Methods:
Study participants are 4175 and 4482 children of birth and kindergarten cohorts from the nationally representative Longitudinal Study of Australian Children for whom the linked Medicare cost data are available. The children were followed in all waves from the year 2004 to 2018. Generalized linear models were used to estimate the excess healthcare costs associated with asthma. The sum of Medicare Benefits Schedule and Pharmaceutical Benefits Scheme costs constitutes the total healthcare costs.
Results:
Total excess healthcare costs associated with asthma among the 2- to 18-year-old children were A$4316 per child. At the population level, the estimated total excess Medicare costs associated with current asthma treatment among 2- to 18-year-old children were, on average, A$190.6 million per year (2018 population and price). Compared with the non-asthmatic children, peers with persistent asthma morbidity and treatment requirements had excess costs up to A$20 727 for the B cohort children until 14 years of age, whereas excess costs for the K cohort children were A$19 571 until 18 years of age.
Conclusions:
Asthma in children imposes a significant financial burden on the public health system. Higher excess healthcare costs of all asthmatic children than the costs of nonasthmatic children provide further economic justification for promoting preventive efforts at early ages.
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