A Multidisciplinary Clinic for Children with Problematic Severe Asthma: Assessment of Clinical Outcomes, Healthcare Utilization and Costs

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atmire.migration.oldid2803
dc.contributor.advisorCurrie, Gillian
dc.contributor.advisorNettel-Aguirre, Alberto
dc.contributor.authorKam, Karen
dc.date.accessioned2014-12-24T15:56:20Z
dc.date.available2015-02-23T08:00:35Z
dc.date.issued2014-12-24
dc.date.submitted2014en
dc.description.abstractBackground: The Intensive Management of Asthma Clinic (IMAC) at the Alberta Children’s Hospital is a novel multidisciplinary clinic for children with severe problematic asthma. Whether consolidating resources in this clinic is effective, compared to the regular asthma clinic, has not been studied. Methods: This quasi-experimental retrospective study compared the IMAC and regular asthma clinic. Data was collected in three categories: clinical outcomes, healthcare utilization, and costs (healthcare utilization, patient-borne). Primary analyses used linear mixed effects modeling, paired t-tests, and ANOVA. Results: Lung function improved more for IMAC patients. Quality of life scores, measured only in the IMAC, improved. Scheduled clinic visits increased, while ED visits decreased. The increased cost of the IMAC was greater than the total costs saved by subsequent decreased healthcare utilization; overall the IMAC was more expensive. Conclusion: The IMAC is effective in improving clinical outcomes and decreasing healthcare utilization; however, these benefits come at extra cost.en_US
dc.identifier.citationKam, K. (2014). A Multidisciplinary Clinic for Children with Problematic Severe Asthma: Assessment of Clinical Outcomes, Healthcare Utilization and Costs (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca. doi:10.11575/PRISM/24802en_US
dc.identifier.doihttp://dx.doi.org/10.11575/PRISM/24802
dc.identifier.urihttp://hdl.handle.net/11023/1971
dc.language.isoeng
dc.publisher.facultyGraduate Studies
dc.publisher.institutionUniversity of Calgaryen
dc.publisher.placeCalgaryen
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.
dc.subjectHealth Sciences
dc.subject.classificationHealthcare utilizationen_US
dc.subject.classificationHealthcare costsen_US
dc.subject.classificationAsthmaen_US
dc.subject.classificationClinical outcomesen_US
dc.titleA Multidisciplinary Clinic for Children with Problematic Severe Asthma: Assessment of Clinical Outcomes, Healthcare Utilization and Costs
dc.typemaster thesis
thesis.degree.disciplineCommunity Health Sciences
thesis.degree.grantorUniversity of Calgary
thesis.degree.nameMaster of Science (MSc)
ucalgary.item.requestcopytrue
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