Health Outcomes

• Respiratory outcomes

Health Outcome List:

• Respiratory outcomes (asthma)

Environmental Agents

List of Environmental Agents:

• Home-based environmental asthma triggers

Source of Environmental Agents:

• Not available

Economic Evaluation / Methods and Source

Type:

• Cost-benefit analysis (CBA), Cost-effectiveness analysis (CEA)

Cost Measures:

• Healthcare costs such as hospitalizations, emergency room visits and asthma-related clinic visits
• costs of lost work productivity
• costs of travel incurred during the usage of healthcare services
• educational costs for interventions
• training costs for medical professionals
• costs for follow-up visits (e.g., training supplies and transportation)
• costs for implementation of interventions (e.g., cost of allergen-impermeable covers, pest management, etc.)

Potential Cost Measures:

• Incremental costs of acute and chronic asthma medications
• cost of lost leisure time
• employer friction costs
• quality of life

Benefits Measures:

• Averted healthcare costs and parameters such as hospitalizations, emergency room and clinic/urgent care visits
• averted costs related to lost worker productivity

Potential Benefits Measures:

• Reduction of asthma medication use

Location:

• Maryland

Models Used:

• Not available

Models References:

• Not available

Methods Used:

• The authors performed a cost-consequence analysis of environmental strategies for asthma control using data from published studies. The authors — 1) used decision analysis to estimate all incremental costs and benefits, from a societal perspective, of selected environmental strategies for asthma control; 2) determined the appropriate study interventions, by performing a meta-analysis of studies describing environmental strategies for asthma control; 3) constructed a hypothetical study population using data on health encounters in 2009 within the state of Maryland from the 2011 Maryland Asthma Surveillance Report (MASR); and 4) calculated the costs parameters related to asthma and the implementation of the asthma control interventions.

Sources Used:

• Maryland Asthma Control Program, Maryland Asthma Surveillance Report (MASR) (Bankowski et al., 2011); CDC Behavioral Risk Factor Surveillance System (BRFSS); Youth Tobacco Surveys (YTS); Youth Risk Behavior Surveys (YRBS); Ambulatory Care and Hospital Discharge Profiles (Maryland Health Services Cost Review Commission (HSCRC)); Labor Force Statistics from the Current Population Survey (Bureau of Labor Statistics, 2011); Allergy Control Products (Duluth, Georgia, USA); Health Services Cost Review Commission (2012); additional sources cited in publication

Economic Citation / Fundings

Citation:

• Jassal MS, Diette GB, and Dowdy DW. Cost-consequence analysis of multimodal interventions with environmental components for pediatric asthma in the state of Maryland. Journal of Asthma. 2013. 50; 6.
• Pubmed
• DOI

NIEHS Funding:

• Not available

Other Funding: Not available