Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: Virginia (cont’d)
Outcomes Evaluation of a Comprehensive Intervention Program for Asthmatic Children Enrolled in Medicaid
Eastern Virginia Medical School
Cynthia S. Kelly, MD
Researchers at Eastern Virginia Medical School conducted an outcomes evaluation of a comprehensive intervention program for asthmatic children enrolled in Medicaid. The objective of the study was to evaluate health care and financial outcomes in a population of Medicaid-insured asthmatic children after a comprehensive asthma intervention program.
Eighty children, 2 to 16 years old, with a history of frequent use of emergent health care services for asthma participated. Children in the intervention group received asthma education and 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.
Baseline demographics did not differ significantly between the two groups. In the year before the study, there were no significant differences between intervention and control children in ED visits, hospitalizations, or health care charges. 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.
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