Previous studies have shown that asthma education and case management may reduce asthma emergency care, hospitalizations, and expenditures.
We sought to study the effect of an asthma outreach program (AOP), a team-based, case-management intervention, on emergency ward (EW) and hospital use.
Fifty-seven patients aged I to 15 years with the diagnosis of asthma based on the usual clinical practice criteria who were continuously enrolled in a staff-model health maintenance organization for a period of at least 2 consecutive years were randomized into 2 intervention groups.
The control group received a single intensive asthma education intervention, and the AOP group received the same initial education but then was followed-up by an asthma case management nurse throughout the intervention period.
EW visits, hospitalizations, and total outside-of-health-plan expenditures (consisting of EW and hospital expenses, as well as miscellaneous costs, such as ambulance, durable medical equipment, tertiary referrals, and home care) were assessed from claims filed for a year before and after enrollment.
Control group patients experienced significant reductions in EW visits (39%), hospitalizations (43%), and outside-of-health-plan costs (28%), possibly as a result of the baseline educational intervention received by all enrolled patients, in conjunction with regression to the mean. (...)
Mots-clés Pascal : Asthme, Enfant, Homme, Urgence, Hospitalisation, Education santé, Economie santé, Facteur risque, Rapport coût bénéfice, Etats Unis, Amérique du Nord, Amérique, Etude statistique, Traitement, Prévention, Appareil respiratoire pathologie, Bronchopneumopathie obstructive
Mots-clés Pascal anglais : Asthma, Child, Human, Emergency, Hospitalization, Health education, Health economy, Risk factor, Cost benefit ratio, United States, North America, America, Statistical study, Treatment, Prevention, Respiratory disease, Obstructive pulmonary disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0187352
Code Inist : 002B30A01C. Création : 16/11/1999.