Health-care costs of inner-city patients with asthma

Kevin T. Stroupe, Denise Gaskins, Michael D. Murray

Research output: Contribution to journalArticle

26 Scopus citations

Abstract

We estimated the health-care costs accrued by inner-city asthma patients over 1 year and identified patient characteristics associated with high cost patterns. The direct cost to the health-care provider of 1205 patients with an active diagnosis of asthma was $2.5 million, of which $888,000 (35.5%) was for asthma management. The average cost of an outpatient visit was $188, but was $3812 for a hospital admission. Outpatient visits for asthma comprised the largest volume of usage (96.2%) and the largest cost (55.4%). Although 104 hospital admissions of 84 patients (7%) comprised only 3.8% of the total encounters for asthma, they comprised 44.6% of asthma costs. Strategies emphasizing preventive care resulting in 20% greater outpatient costs would pay for themselves if they reduced inpatient admissions by 10%.

Original languageEnglish (US)
Pages (from-to)645-655
Number of pages11
JournalJournal of Asthma
Volume36
Issue number8
DOIs
StatePublished - Jan 1 1999

Keywords

  • Asthma
  • Chronic disease
  • Health-care costs
  • Urban health

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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