The Patient Level Cost of Asthma in Adults in South Central Ontario

Abstract

Interventions aimed at reducing productivity losses, admissions to hospital and medication costs may result in savings to society, the provincial government and the patient. The quality of policy and allocation decisions may be enhanced by cost of illness estimates that are comprehensive, precise and incorporate multiple perspectives.

Predicting Emergency Department Utilization in Adults with Asthma: A Cohort Study

“…On the other hand, several studies of fatal and near-fatal asthma have shown that these subjects had poorly controlled asthma and a past history of crisis management for their disease (7,8). Patients with asthma who utilize emergency departments are certainly among the largest users of health care resources (9)(10)(11)(12)(13)(14). It is usually this group of subjects with asthma who are considered to be the most important target for asthma education to improve disease control and adherence with therapy and allergen avoidance (15).…”

A Cross-Sectional Comparison of Direct Medical Care Costs among COPD and Asthma Patients Living in the Community in Northern Ireland

“…The database firm this is $US and not $Aus)) per person in New South Wales, will enable modeling of the cost consequences of disease-modifyAustralia, in 1989 translates to a cost in year 2000 dollars of ing interventions such as smoking cessation programs, and in-$US1123, though they concede this may be an underestimate; creased diagnosis and better management of COPD. estimates by Unger et al [30] in Canada of $US1275((Author: please confirm this is $US and not $Can)) per year in direct costs…”

“…It is accepted that a high proportion of the marginally significant, as indicated by the F-statistic being significost of COPD is incurred by those with severe disease, [30] who are cant only at the 90% level of confidence.…”

Asthma that is unresponsive to usual care

“…Costs also increase significantly with disease severity: a small cohort of severely ill patients consumes 80% of all asthma-related health care resources. 2,3 Inadequately controlled asthma accounts for more than three-quarters of related emergency department visits, admissions to hospital and unscheduled consultations with a physician, resulting in an estimated cost of $162 million per year in Canada. 4,5 Central to the management of asthma is the assessment of disease control.…”