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Titolo:
Outcomes evaluation of a comprehensive intervention program for asthmatic children enrolled in Medicaid
Autore:
Kelly, CS; Morrow, AL; Shults, J; Nakas, N; Strope, GL; Adelman, RD;
Indirizzi:
Ctr Pediat Res, Norfolk, VA 23510 USA Ctr Pediat Res Norfolk VA USA 23510Ctr Pediat Res, Norfolk, VA 23510 USA Eastern Virginia Med Sch, Div Pulm Allergy & Immunol, Norfolk, VA 23501 USA Eastern Virginia Med Sch Norfolk VA USA 23501 unol, Norfolk, VA 23501 USA Eastern Virginia Med Sch, Dept Pediat, Norfolk, VA 23501 USA Eastern Virginia Med Sch Norfolk VA USA 23501 diat, Norfolk, VA 23501 USA Childrens Hosp Kings Daughters, Norfolk, VA USA Childrens Hosp Kings Daughters Norfolk VA USA Daughters, Norfolk, VA USA
Titolo Testata:
PEDIATRICS
fascicolo: 5, volume: 105, anno: 2000,
pagine: 1029 - 1035
SICI:
0031-4005(200005)105:5<1029:OEOACI>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
SELF-MANAGEMENT EDUCATION; QUALITY-OF-LIFE; CHILDHOOD ASTHMA; COST-EFFECTIVENESS; HEALTH-EDUCATION; CONTROLLED TRIAL; UNITED-STATES; CARE; IMPACT; MORBIDITY;
Keywords:
asthma education; health care outcomes; Medicaid; asthma outreach; utilization;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
37
Recensione:
Indirizzi per estratti:
Indirizzo: Kelly, CS Ctr Pediat Res, 855 W Brambleton Ave, Norfolk, VA 23510 USA Ctr Pediat Res 855 W Brambleton Ave Norfolk VA USA 23510 510 USA
Citazione:
C.S. Kelly et al., "Outcomes evaluation of a comprehensive intervention program for asthmatic children enrolled in Medicaid", PEDIATRICS, 105(5), 2000, pp. 1029-1035

Abstract

Objectives. To evaluate health care and financial outcomes in a populationof Medicaid-insured asthmatic children after a comprehensive asthma intervention program. Design. Controlled clinical trial. Setting. Pediatric allergy clinic in an urban, tertiary care children's hospital. Subjects. Eighty children, 2 to 16 years old, with a history of frequent use of emergent health care services for asthma. Intervention. Children in the intervention group received asthma educationand medical treatment in the setting of a tertiary care pediatric allergy clinic. An asthma outreach nurse maintained monthly contact with the families enrolled in the intervention group. Outcome Measures. Emergency department (ED) visits, hospitalizations, and health care charges per patient in the year after enrollment. Results. Baseline demographics did not differ significantly between the 2 groups. In the year before the study, there were no significant differencesbetween intervention and control children in ED visits (mean, 3.5 per patient), hospitalizations (mean, .6 per patient) or health care charges ($2969per patient). During the study year, ED visits decreased to a mean of 1.7 per patient in the intervention group and 2.4 in controls, while hospitalizations decreased to a mean of .2 per patient in the intervention group and .5 in the controls. Average asthma health care charges decreased by $721/child/year in the intervention group and by $178/patient/year in the control group. Conclusions. A comprehensive asthma intervention program for Medicaid-insured asthmatic children can significantly improve health outcomes while reducing health care costs.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/09/20 alle ore 10:47:07