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Disparities in Potentially Preventable Emergency Department Visits for Children with Asthma among Asian Americans, Pacific Islanders, and Whites in Hawai‘i

Author

Listed:
  • Olivia Uchima

    (Office of Public Health Studies, University of Hawai‘i at Manoa, 1960 East-West Road, Honolulu, HI 96822, USA)

  • Deborah A. Taira

    (Daniel K. Inouye College of Pharmacy, University of Hawai‘i at Hilo, 677 Ala Moana Boulevard, Honolulu, HI 96813, USA)

  • Hyeong Jun Ahn

    (Department of Quantitative Health Sciences, University of Hawai‘i at Manoa, 651 Ilalo Street, Medical Education Building, Honolulu, HI 96813, USA)

  • So Yung Choi

    (Department of Quantitative Health Sciences, University of Hawai‘i at Manoa, 651 Ilalo Street, Medical Education Building, Honolulu, HI 96813, USA)

  • May Okihiro

    (Department of Pediatrics, John A. Burns School of Medicine, University of Hawai‘i at Manoa, Honolulu, HI 96813, USA)

  • Tetine Sentell

    (Office of Public Health Studies, University of Hawai‘i at Manoa, 1960 East-West Road, Honolulu, HI 96822, USA)

Abstract

The cost burdens of potentially preventable emergency department visits for pediatric asthma were estimated for Asian Americans, Pacific Islanders, and Whites using Hawai‘i statewide 2015–2016 data. The cost burden of the 3234 preventable emergency department visits over the study period was over $1.9 million. Native Hawaiians had the largest proportion (36.5%) of all preventable emergency department visits and accounted for the highest costs for the two years at $709,698. After adjusting for other factors, costs for preventable pediatric-asthma-related emergency department visits differed significantly by age, insurance provider, and island of residency. Reducing potentially preventable emergency department visits would not only improve health disparities among Native Hawaiians compared to other racial or ethnic populations in Hawai‘i, but could also generate cost savings for public and private insurance payers.

Suggested Citation

  • Olivia Uchima & Deborah A. Taira & Hyeong Jun Ahn & So Yung Choi & May Okihiro & Tetine Sentell, 2021. "Disparities in Potentially Preventable Emergency Department Visits for Children with Asthma among Asian Americans, Pacific Islanders, and Whites in Hawai‘i," IJERPH, MDPI, vol. 18(13), pages 1-13, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:13:p:7096-:d:587488
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    References listed on IDEAS

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    1. Richard Perry & George Braileanu & Thomas Palmer & Paul Stevens, 2019. "The Economic Burden of Pediatric Asthma in the United States: Literature Review of Current Evidence," PharmacoEconomics, Springer, vol. 37(2), pages 155-167, February.
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