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The authors posit Community Health Workers (CHWs) may be a cost effective model to reduce unnecessary ED visits in a vulnerable pediatric population. However, there is little to no mention of CHW capacity or costs per patient, beyond a brief description of training requirements and the intervention of an hour long monthly home visit. These details are important to developing metrics for CHW capacity, budgeting staffing resources, and program evaluation within health systems. Only with such data would it be feasible to determine cost effectiveness.
The authors convey no information relative to the cost of the program and its return on investment. As a starting point, can they at least estimate the cost per emergence department visit averted?
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