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Economic Evidence for US Asthma Self-Management Education and Home-Based Interventions.

Abstract The health and economic burden of asthma in the United States is substantial. Asthma self-management education (AS-ME) and home-based interventions for asthma can improve asthma control and prevent asthma exacerbations, and interest in health care-public health collaboration regarding asthma is increasing. However, outpatient AS-ME and home-based asthma intervention programs are not widely available; economic sustainability is a common concern. Thus, we conducted a narrative review of existing literature regarding economic outcomes of outpatient AS-ME and home-based intervention programs for asthma in the United States. We identified 9 outpatient AS-ME programs and 17 home-based intervention programs with return on investment (ROI) data. Most programs were associated with a positive ROI; a few programs observed positive ROIs only among selected populations (eg, higher health care utilization). Interpretation of existing data is limited by heterogeneous ROI calculations. Nevertheless, the literature suggests promise for sustainable opportunities to expand access to outpatient AS-ME and home-based asthma intervention programs in the United States. More definitive knowledge about how to maximize program benefit and sustainability could be gained through more controlled studies of specific populations and increased uniformity in economic assessments.
PMID
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Authors

Mayor MeshTerms
Keywords

Asthma

Community health worker

Control

Cost

Education

Home

Return on investment

Journal Title the journal of allergy and clinical immunology. in practice
Publication Year Start




PMID- 27658535
OWN - NLM
STAT- In-Data-Review
DA  - 20160923
LR  - 20161112
IS  - 2213-2201 (Electronic)
VI  - 4
IP  - 6
DP  - 2016 Nov - Dec
TI  - Economic Evidence for US Asthma Self-Management Education and Home-Based
      Interventions.
PG  - 1123-1134.e27
LID - S2213-2198(16)30151-9 [pii]
LID - 10.1016/j.jaip.2016.05.012 [doi]
AB  - The health and economic burden of asthma in the United States is substantial.
      Asthma self-management education (AS-ME) and home-based interventions for asthma 
      can improve asthma control and prevent asthma exacerbations, and interest in
      health care-public health collaboration regarding asthma is increasing. However, 
      outpatient AS-ME and home-based asthma intervention programs are not widely
      available; economic sustainability is a common concern. Thus, we conducted a
      narrative review of existing literature regarding economic outcomes of outpatient
      AS-ME and home-based intervention programs for asthma in the United States. We
      identified 9 outpatient AS-ME programs and 17 home-based intervention programs
      with return on investment (ROI) data. Most programs were associated with a
      positive ROI; a few programs observed positive ROIs only among selected
      populations (eg, higher health care utilization). Interpretation of existing data
      is limited by heterogeneous ROI calculations. Nevertheless, the literature
      suggests promise for sustainable opportunities to expand access to outpatient
      AS-ME and home-based asthma intervention programs in the United States. More
      definitive knowledge about how to maximize program benefit and sustainability
      could be gained through more controlled studies of specific populations and
      increased uniformity in economic assessments.
CI  - Published by Elsevier Inc.
FAU - Hsu, Joy
AU  - Hsu J
AD  - Air Pollution and Respiratory Health Branch, Division of Environmental Hazards
      and Health Effects, National Center for Environmental Health, Centers for Disease
      Control and Prevention, Atlanta, Ga. Electronic address: [email protected]
FAU - Wilhelm, Natalie
AU  - Wilhelm N
AD  - Tufts University School of Medicine, Boston, Mass.
FAU - Lewis, Lillianne
AU  - Lewis L
AD  - Epidemic Intelligence Service, Office of Public Health Scientific Services,
      Centers for Disease Control and Prevention, Atlanta, Ga.
FAU - Herman, Elizabeth
AU  - Herman E
AD  - Air Pollution and Respiratory Health Branch, Division of Environmental Hazards
      and Health Effects, National Center for Environmental Health, Centers for Disease
      Control and Prevention, Atlanta, Ga.
LA  - ENG
PT  - Journal Article
DEP - 20160919
PL  - United States
TA  - J Allergy Clin Immunol Pract
JT  - The journal of allergy and clinical immunology. In practice
JID - 101597220
OTO - NOTNLM
OT  - Asthma
OT  - Community health worker
OT  - Control
OT  - Cost
OT  - Education
OT  - Home
OT  - Return on investment
EDAT- 2016/09/24 06:00
MHDA- 2016/09/24 06:00
CRDT- 2016/09/24 06:00
PHST- 2016/03/31 [received]
PHST- 2016/05/02 [revised]
PHST- 2016/05/19 [accepted]
AID - S2213-2198(16)30151-9 [pii]
AID - 10.1016/j.jaip.2016.05.012 [doi]
PST - ppublish
SO  - J Allergy Clin Immunol Pract. 2016 Nov - Dec;4(6):1123-1134.e27. doi:
      10.1016/j.jaip.2016.05.012. Epub 2016 Sep 19.

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