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  1. A randomized controlled trial of a pediatric asthma outreach program.

    Article - En anglais

    Background 

    Previous studies have shown that asthma education and case management may reduce asthma emergency care, hospitalizations, and expenditures.

    Objective 

    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.

    Methods 

    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.

    Results 

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0187352

    Code Inist : 002B30A01C. Création : 16/11/1999.