|Benefit-Cost Summary Statistics Per Participant|
|Taxpayers||$11||Benefits minus costs||($85)|
|Participants||$4||Benefit to cost ratio||($0.03)|
|Others||$18||Chance the program will produce|
|Indirect||($36)||benefits greater than the costs||46 %|
|Net program cost||($82)|
|Benefits minus cost||($85)|
|Meta-Analysis of Program Effects|
|Outcomes measured||Treatment age||No. of effect sizes||Treatment N||Adjusted effect sizes(ES) and standard errors(SE) used in the benefit - cost analysis||Unadjusted effect size (random effects model)|
|First time ES is estimated||Second time ES is estimated|
Hospital admission, for any reason.
Emergency department visits
Whether someone visited the emergency department, or the number of times they visited the emergency department.
Number or percentage of school days present in a given enrollment period.
|Detailed Monetary Benefit Estimates Per Participant|
|Affected outcome:||Resulting benefits:1||Benefits accrue to:|
|Hospitalization||Health care associated with general hospitalization||($5)||$0||($5)||($2)||($12)|
|Emergency department visits||Health care associated with emergency department visits||$15||$4||$23||$8||$50|
|Program cost||Adjustment for deadweight cost of program||$0||$0||$0||($41)||($41)|
|Detailed Annual Cost Estimates Per Participant|
|Annual cost||Year dollars||Summary|
|Program costs||$77||2014||Present value of net program costs (in 2018 dollars)||($82)|
|Comparison costs||$0||2014||Cost range (+ or -)||25 %|
Benefits Minus Costs
Benefits by Perspective
Taxpayer Benefits by Source of Value
|Benefits Minus Costs Over Time (Cumulative Discounted Dollars)|
|The graph above illustrates the estimated cumulative net benefits per-participant for the first fifty years beyond the initial investment in the program. We present these cash flows in discounted dollars. If the dollars are negative (bars below $0 line), the cumulative benefits do not outweigh the cost of the program up to that point in time. The program breaks even when the dollars reach $0. At this point, the total benefits to participants, taxpayers, and others, are equal to the cost of the program. If the dollars are above $0, the benefits of the program exceed the initial investment.|
Alexander, J.S., Younger, R.E., Cohen, R.M., & Crawford, L.V. (1988). Effectiveness of a nurse-managed program for children with chronic asthma. Journal of Pediatric Nursing, 3(5), 312-317.
Clark, N.M., Feldman, C.H., Evans, D., Levison, M.J., Wasilewski, Y., & Mellins, R.B. (1986). The impact of health education on frequency and cost of health care use by low income children with asthma. The Journal of Allergy and Clinical Immunology, 78(1), 108-15.
Evans, R. ., Gergen, P.J., Mitchell, H., Kattan, M., Kercsmar, C., Crain, E., Anderson, J., ... Wedner, H.J. (1999). A randomized clinical trial to reduce asthma morbidity among inner-city children: results of the National Cooperative Inner-City Asthma Study. The Journal of Pediatrics, 135(3), 332-338.
Farber, H.J., & Oliveria, L. (2004). Trial of an Asthma Education Program in an Inner-City Pediatric Emergency Department. Pediatric Asthma, Allergy & Immunology, 17(2), 107-115.
Fireman, P., Friday, G.A., Gira, C., Vierthaler, W.A., & Michaels, L. (1981). Teaching self-management skills to asthmatic children and their parents in an ambulatory care setting. Pediatrics, 68(3), 341-8.
Homer, C., Susskind, O., Alpert, H.R., Owusu, M., Schneider, L., Rappaport, L.A., & Rubin, D.H. (2000). An evaluation of an innovative multimedia educational software program for asthma management: report of a randomized, controlled trial. Pediatrics, 106(1), 210-205.
Lukacs, S.L., France, E.K., Barón, A.E., & Crane, L.A. (2002). Effectiveness of an asthma management program for pediatric members of a large health maintenance organization. Archives of Pediatrics & Adolescent Medicine, 156(9), 872-876.
Madge, P., McColl, J., & Paton, J. (1997). Impact of a nurse-led home management training programme in children admitted to hospital with acute asthma: a randomised controlled study. Thorax, 52(3), 223-228.
Mitchell, E.A., Ferguson, V., & Norwood, M. (1986). Asthma education by community child health nurses. Archives of Disease in Childhood, 61(12), 1184-1189.
Rubin, D.H., Leventhal, J.M., Sadock, R.T., Letovsky, E., Schottland, P., Clemente, I., & McCarthy, P. (1986). Educational intervention by computer in childhood asthma: a randomized clinical trial testing the use of a new teaching intervention in childhood asthma. Pediatrics, 77(1), 1-10.
Shields, M.C. (1990). The Effect of a Patient Education Program on Emergency Room Use for Inner-City Children with Asthma. American Journal of Public Health, 80(1), 36-38.
Stevens, C.A., Wesseldine, L.J., Couriel, J.M., Dyer, A.J., Osman, L.M., & Silverman, M. (2002). Parental education and guided self-management of asthma and wheezing in the pre-school child: a randomised controlled trial. Thorax, 57(1), 39-44.