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Titolo:
Prospective study of the patient-level cost of asthma care in children
Autore:
Ungar, WJ; Coyte, PC;
Indirizzi:
Hosp Sick Children, Toronto, ON M5G 1X8, Canada Hosp Sick Children Toronto ON Canada M5G 1X8 Toronto, ON M5G 1X8, Canada Univ Toronto, Dept Hlth Adm, Toronto, ON, Canada Univ Toronto Toronto ON Canada ronto, Dept Hlth Adm, Toronto, ON, Canada
Titolo Testata:
PEDIATRIC PULMONOLOGY
fascicolo: 2, volume: 32, anno: 2001,
pagine: 101 - 108
SICI:
8755-6863(200108)32:2<101:PSOTPC>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHILDHOOD ASTHMA; SEVERITY; QUESTIONNAIRE; TRENDS; RECALL; CANADA;
Keywords:
asthma; cost-of-illness; children; health services utilization; health care policy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Ungar, WJ Hosp Sick Children, 555 Univ Ave, Toronto, ON M5G 1X8, Canada Hosp Sick Children 555 Univ Ave Toronto ON Canada M5G 1X8 Canada
Citazione:
W.J. Ungar e P.C. Coyte, "Prospective study of the patient-level cost of asthma care in children", PEDIAT PULM, 32(2), 2001, pp. 101-108

Abstract

Our objective was to assess the cost of asthma care at the patient level in children from the perspectives of society, the Ontario Ministry of Health, and the patient. In this longitudinal evaluation, health service use dataand costs were collected during telephone interviews at 1, 3, and 6 monthswith parents of 339 Ontario children with asthma. Direct costs were respiratory-related visits to healthcare providers, emergency rooms, hospital admissions, pulmonary function tests, prescription medications, devices, and out-of-pocket expenses. Indirect costs were parents' absences from work/usual activities and travel and waiting time. Hospital admissions accounted for 43%, medications for 31%, and parent productivity losses for 12% of total costs from a societal perspective. Statistically significant predictors of higher total costs were worse symptoms, younger age group, and season of participation. Adjusted annual societal costs per patient in 1995 Canadian dollars varied from $1,122 in children aged4-14 years to $1,386 in children under 4 years of age. From the Ministry of Health perspective, adjusted annual costs per patient were $663 in children over 4 years and $904 in younger children. Adjusted annual costs from the patient perspective were $132 in children over 4 years and $129 in children under 4 years. The rising incidence of pediatric asthma demands that greater attention bepaid to the delivery of optimal care to this segment of the population. Appropriate methods must be used to analyze healthcare costs and the use of services in the midst of widespread healthcare reform. The quality of clinical and health policy decision-making may be enhanced by cost-of-illness estimates that are comprehensive, precise, and expressed from multiple perspectives. (C) 2001 Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 17/01/20 alle ore 20:09:06