Reduction in resource utilization by an asthma outreach program.
To study the effect of an asthma outreach program on emergency ward and hospital utilization.
Before and after trial.
Ambulatory patients in a staff-model health maintenance organization with a 70% black inner-city population.
Fifty-three patients aged 1 to 17 years with the diagnosis of asthma based on usual clinical practice criteria.
Asthma emergency ward visits and hospitalizations were monitored over a 6-month to 2-year period after enrollment in the program.
Patients were scheduled for one-on-one orientation visits with the asthma outreach nurse and instructed in asthma management, medications, triggers, and use of inhalers and peak flowmeters.
The outreach nurse maintained personal or telephone contact with the families on a regular basis to assure understanding of and compliance with the treatment plan.
Outcome was assessed by measuring annualized emergency ward and hospital admissions for each patient for an equal period before and after entry into the program.
Emergency ward admissions were reduced 79% (from a rate of 72 visits per year to 15 visits per year, P<. 0001) and hospital admissions were reduced 86% (from 35 per year to five per year, P<. 001).
Patients enrolled in a pediatric asthma outreach program experienced a significant reduction in utilization of emergency ward and hospital admissions, resulting in reduced cost of care.
Mots-clés Pascal : Etats Unis, Amérique du Nord, Amérique, Asthme, Enfant, Homme, Evaluation, Programme sanitaire, Utilisation, Service santé, Nourrisson, Adolescent, Appareil respiratoire pathologie, Bronchopneumopathie obstructive
Mots-clés Pascal anglais : United States, North America, America, Asthma, Child, Human, Evaluation, Sanitary program, Use, Health service, Infant, Adolescent, Respiratory disease, Obstructive pulmonary disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0278453
Code Inist : 002B11B. Création : 01/03/1996.