Naufal Georges, Naiser Emily, Patterson Bethany, Baek Juha, Carrillo Genny
Public Policy Research Institute, Texas A&M University, College Station, TX, USA.
Center for Outcomes Research, Houston Methodist, Houston, TX, USA.
J Asthma Allergy. 2022 May 4;15:547-556. doi: 10.2147/JAA.S351141. eCollection 2022.
This paper examines the cost-effectiveness of an asthma-related education program.
Using a pre and post approach, the paper calculates first changes in cost due to variations in outcome (from baseline to follow-up). We also estimate cost-effectiveness ratios for each of the eight outcomes (numbers of asthma attacks, hospital, and ER visits, and physical and emotional health, and activity levels of both children and family members).
The intervention saved the household around $36 per day. Cost-effectiveness ratios ranged between less than $2.2 for children and family members' physical and emotional health, and activity levels to between $4.1 and $82.8 for asthma attacks and hospital visits. Cost-benefit results showed minimal benefit due to conservative estimates. We could not quantify the economic value of physical and emotional health improvement seen based on the measures.
Cost savings and ratios suggest that such a program could reduce health disparities due to improved knowledge, decreasing exposure to asthma triggers, enhancing health outcomes, and improving the quality of life of the children with asthma and their whole family.
本文探讨一项哮喘相关教育项目的成本效益。
采用前后对比方法，本文首先计算因结果变化（从基线到随访）导致的成本变化。我们还估算了八个结果（哮喘发作次数、住院次数、急诊就诊次数以及儿童和家庭成员的身心健康及活动水平）各自的成本效益比。
该干预措施使家庭每天节省约36美元。儿童和家庭成员的身心健康及活动水平的成本效益比低于2.2美元，而哮喘发作和住院就诊的成本效益比在4.1美元至82.8美元之间。成本效益结果显示，由于保守估计，效益微乎其微。基于这些测量方法，我们无法量化所观察到的身心健康改善的经济价值。
成本节约和成本效益比表明，这样一个项目可以减少健康差距，原因在于提高了知识水平、减少了接触哮喘触发因素的机会、改善了健康结果并提高了哮喘儿童及其整个家庭的生活质量。
