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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.
Background:
Atopic dermatitis is an important cause of morbidity in children of all ages. Despite its high prevalence, there has been no examination of ways in which care for atopic dermatitis is delivered.
Objective:
This study reviewed the costs for care of childhood atopic dermatitis in an urban setting and estimated the national cost for treatment of the disease.
Methods:
We used data from one children's hospital to study the use of the emergency room for atopic dermatitis and used national data sets to estimate the cost of care in the United States.
Results:
A large proportion of visits occur in the emergency department, during daytime office hours, and mostly by patients who have public insurance. The total national cost for treatment of childhood atopic dermatitis is $364 million annually, which is a conservative estimate.
Conclusion:
Given its high prevalence, associated morbidity, and cost, resources must be better allocated to improve the organization of care for patients with atopic dermatitis.
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