Abstract
American, 46.8% Latino; 70.9% haveMedicaid; 65.3% have household income $25,000. Adolescents made up 17.8% (n 127) of the CAI population. Adolescents showed similar positive outcomes to children at 12 months post-enrollment: reductions in hospitalizations (73.7% in adolescents vs. 80.8% in children; both p 0.001), ED visits (65.5% vs. 64%; both p 0.001), missed school days (40.6% vs. 41.4%; both p 0.001), and missed work days (48% vs. 45%; both p 0.001). These reductions were not statistically significantly different between the two age groups. The reduction in limitation of physical activity (45.8% vs. 27.6%; p 0.099 vs. p 0.003) was greater for children. The risk of limitation of physical activity was two times greater (OR 1.95; 95% CI 1.03 to 3.69) for children compared to adolescents at 12 months post-enrollment. GIS mapping showed the majority of patients live in the poorest neighborhoods of Boston, and the distance from the hospital was not significantly different for the two groups (2.46 miles 2.82 for adolescents, 2.21 miles 1.51 for children; p 0.16). The ROI was 1.46 (benefits/program cost) and the SROI is 1.73 including Quality of Life (QOL) measures. Conclusions: CAI reductions in hospitalizations, ED visits, and QOL indicators were similar for adolescents and children. GIS Mapping shows overlap with areas of greatest poverty and no significant differences for adolescents and children. This model of asthma care has generated information to develop policy advocacy efforts to improve services and financing of enhanced asthma care. Sources of Support: This program is supported in part by CDC REACH US #1U58DP001055-01, Healthy Tomorrows #H17MC06705 and #H17MC21564, and LEAH #T71M9, MCHB, and HRSA.
Published Version
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