|Benefit-Cost Summary Statistics Per Participant|
|Taxpayers||$11||Benefits minus costs||($84)|
|Participants||$4||Benefit to cost ratio||($0.04)|
|Others||$18||Chance the program will produce|
|Indirect||($35)||benefits greater than the costs||46 %|
|Net program cost||($81)|
|Benefits minus cost||($84)|
|Detailed Monetary Benefit Estimates Per Participant|
|Benefits from changes to:1||Benefits to:|
|Health care associated with general hospitalization||($5)||$0||($5)||($2)||($12)|
|Health care associated with emergency department visits||$15||$4||$22||$8||$49|
|Adjustment for deadweight cost of program||$0||$0||$0||($40)||($40)|
|Detailed Annual Cost Estimates Per Participant|
|Annual cost||Year dollars||Summary|
|Program costs||$77||2014||Present value of net program costs (in 2018 dollars)||($81)|
|Comparison costs||$0||2014||Cost range (+ or -)||25 %|
|Estimated Cumulative Net Benefits Over Time (Non-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 non-discounted dollars to simplify the “break-even” point from a budgeting perspective. 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.|
|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|
|Emergency department visits||7||7||688||-0.088||0.124||8||0.000||0.086||10||-0.088||0.475|
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.