Cost Effectiveness of Allergy Care Asthma Patients Cared for by Allergists Have: Fewer emergency care visits Fewer hospitalizations Reduced length of hospital stays Fewer emergency care visits Fewer hospitalizations Reduced length of hospital stays Asthma Patients Cared for by Allergists Have: Fewer sick care office visits Fewer days missed school or work Fewer sick care office visits Fewer days missed school or work Increased productivity in work and personal lives Fewer sick days = Asthma Patients Cared for by Allergists Have: Greater satisfaction with their care Improved quality of care All of this supported by peer reviewed literature Greater satisfaction with their care Improved quality of care All of this supported by peer reviewed literature Asthma in the United States 17 million Americans have asthma Prevalence rose 42% in 1982 1992 Prevalence higher in children, i.e million pediatric asthmatic case 1.5 million ER visits and 460,000hospitalization in million Americans have asthma Prevalence rose 42% in 1982 1992 Prevalence higher in children, i.e million pediatric asthmatic case 1.5 million ER visits and 460,000hospitalization in 1992 Cost of Asthma Care Direct Medical ExpendituresCost $M Hospital Care: In-Patient-$ Emergency-$546.3 Out-patient-$722.6 Physicians Services: In-patient care-$110.9 Office visits- Prescriptions- $724.7 $ All direct expenditures$ Weiss and Sullivan JACI 2001 Indirect Cost of Asthma Care Indirect CostsCosts $M School days lost$1,107.3 Loss of work (outside employment) Men$415.0 Women$1,128.2 Housekeeping$841.7 Mortality$1,813.9 Total indirect costs$5,306.0 All Costs:$12,671.3 Weiss and Sullivan J Allergy Clin Immunol 2001 Allergist Management Primary care for 1 year Allergy evaluation + 1 year follow up Reduced: - Sick care office: 308 to 169 (45%) - Acute care: 266 to 118 (55%) - Hospitalizations: 34 to 11 (67%) - Hospital days: 4 to 2.5 Cost savings $145,500 All the above results are statistically significant Westley CR et al All Ast Proc 1997;18, 15 Primary care for 1 year Allergy evaluation + 1 year follow up Reduced: - Sick care office: 308 to 169 (45%) - Acute care: 266 to 118 (55%) - Hospitalizations: 34 to 11 (67%) - Hospital days: 4 to 2.5 Cost savings $145,500 All the above results are statistically significant Westley CR et al All Ast Proc 1997;18, 15 Missed Work and School Days Due to Asthma Care in multi-disciplinary asthma center: Hospitalization frequency decrease 77.4% Emergency department visits decreased 71.80% 80% decrease in missed work days 65% decrease in school absences Care in multi-disciplinary asthma center: Hospitalization frequency decrease 77.4% Emergency department visits decreased 71.80% 80% decrease in missed work days 65% decrease in school absences NJC Medical Scientific Update 1998 McDonald RJ ACCP Meeting (ABS) 1999 Asthma Care Provided by Allergists as Compared to Generalists Fewer hospitalizations and emergency room visits (OR 0.63) Better ratings for quality of care Fewer restrictions in activities (OR 0.57) Improved physical functioning (P