Atopic dermatitis in children: who cares? Who pays?

C S Lapidus1, D F Schwarz, P J Honig

  • 1Department of Pediatrics, Children's Hospital of Philadelphia, Pennsylvania.

Insights

Childhood atopic dermatitis care, often in emergency rooms, costs $364 million nationally. Better resource allocation is needed to improve care organization for this common childhood condition.

Area of Science:

  • Pediatric Dermatology
  • Health Economics

Background:

  • Atopic dermatitis is a significant cause of childhood morbidity.
  • The delivery of care for childhood atopic dermatitis has not been previously examined.

Purpose of the Study:

  • To review the costs associated with childhood atopic dermatitis care in an urban setting.
  • To estimate the national cost of treating childhood atopic dermatitis.

Main Methods:

  • Utilized data from a single children's hospital to analyze emergency room visits for atopic dermatitis.
  • Employed national datasets to project the overall cost of care in the United States.

Main Results:

  • A substantial number of emergency department visits occur during regular office hours.
  • The majority of patients presenting with atopic dermatitis in emergency settings have public insurance.
  • The estimated annual national cost for childhood atopic dermatitis treatment is $364 million, considered a conservative figure.

Conclusions:

  • The high prevalence, morbidity, and cost of childhood atopic dermatitis necessitate improved resource allocation.
  • Enhanced organization of care delivery is crucial for managing atopic dermatitis in pediatric populations.
Abstract

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