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Reduction in resource utilization by an asthma outreach program

D K Greineder¹, K C Loane, P Parks

¹Department of Allergy, Harvard Community Health Plan, Boston, MA, USA.

Archives of Pediatrics & Adolescent Medicine

|April 1, 1995

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An asthma outreach program significantly reduced emergency and hospital admissions for pediatric patients. This intervention improved patient outcomes and lowered healthcare costs.

Area of Science:

Pediatric Pulmonology
Public Health Interventions
Healthcare Management

Background:

Asthma is a significant public health concern, particularly in inner-city populations.
High rates of emergency ward and hospital utilization are common among pediatric asthma patients.
Effective management strategies are needed to reduce healthcare resource burden.

Purpose of the Study:

To evaluate the impact of a pediatric asthma outreach program on emergency ward and hospital admissions.
To assess the cost-effectiveness of asthma outreach interventions.

Main Methods:

A before-and-after trial design was employed.
Fifty-three pediatric patients (ages 1-17) with asthma participated.
The intervention involved personalized education, individualized treatment plans, and ongoing nurse support.

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Main Results:

Emergency ward admissions decreased by 79% (72 to 15 per year).
Hospital admissions reduced by 86% (35 to 5 per year).
The program achieved significant cost savings, with an estimated $87,000 saved annually.

Conclusions:

A pediatric asthma outreach program effectively reduced emergency and hospital utilization.
The intervention led to substantial cost reductions in asthma care.
Outreach programs are a valuable strategy for managing pediatric asthma and optimizing healthcare resources.