The aims of the present study were as follows : 1) to evaluate the medical outcomes of two treatment and educational asthma programs 2) to determine by cost-analysis both cost and economic outcome of the programs 3) to perform a cost-benefit analysis (determining the net cost-benefit) and a cost-effectiveness analysis (determining the cost per unit of effect and the incremental cost-effectiveness ratio) from the perspective of health program policy makers (HPP ; indirect costs, i.e., loss of productivity, excluded) and of society as a whole (SaW ; all costs included).
Patients were randomly assigned to a complete (CP ; n=32) or reduced (RP ; n=33) program : the RP group received a reduced education (self-reading of an educational booklet on asthma), while the CP group attended an « asthma school », consisting of six lessons based on the same booklet and including educational videotapes.
Both programs included peak-flow monitoring and treatment according to international guidelines, and follow-up.
The outcome variables (asthma attacks, urgent medical examinations, admission days, working days lost) did not differ significantly between CP and RP.
Morbidity savings were $1894.70 (CP) and $1697.80 (RP) according to SaW, and $1349.50 and $1301.80, respectively, according to HPP.
The net cost-benefit was $1181.50 for CP and $1028.00 for RP, and the cost-benefit ratio per dollar spent was 1 : 2.6 for CP and 1 : 2.5 for RP, according to SaW. (...)
Mots-clés Pascal : Asthme, Traitement, Education sanitaire, Analyse coût efficacité, Programme sanitaire, Analyse avantage coût, Economie santé, Italie, Europe, Homme, Appareil respiratoire pathologie, Bronchopneumopathie obstructive
Mots-clés Pascal anglais : Asthma, Treatment, Health education, Cost efficiency analysis, Sanitary program, Cost benefit analysis, Health economy, Italy, Europe, Human, Respiratory disease, Obstructive pulmonary disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0320601
Code Inist : 002B30A03A. Création : 10/04/1997.