High utilization for self-limiting conditions has challenged health care systems to be innovative.
The facilitation of self-care has been identified as a viable concept to control demand and encourage efficient use of resources.
A Self-Care Intervention Program (SCIP) coupled with a Health Promotion Pharmacy (HPP) was implemented in an Army health care system to determine the impact on the use of self-care.
A questionnaire was mailed to 283 SCIP participants at the 6-month interval to assess achievement of program objectives.
Use of the HPP was documented during the same interval.
The response rate was 67.5% (n=191).
A positive response was obtained for all six program objectives :
increased knowledge of personal health issues (84.3%) ;
increased confidence to treat minor illnesses (77%) ;
improved opinion of the health care system (74.9%) ;
increased practice of healthy behaviors (64.9%) ;
and an increased commitment to seek preventive medicine (62.8%). Seventy-two percent of the respondents reported avoiding at least one clinic visit, and 39.8% reported avoiding at least one visit to the emergency room.
The calculated return on investment was 11 : 1. Conclusion : A formal self-care program supported by a pharmacy can have a positive effect on participants'health and health care, resulting in cost-effective demand management.
Mots-clés Pascal : Système santé, Méthodologie, Impact socioéconomique, Autocontrôle, Militaire, Analyse coût efficacité, Soin pharmaceutique, Homme, Organisation santé
Mots-clés Pascal anglais : Health system, Methodology, Socioeconomical impact, Self control, Military, Cost efficiency analysis, Pharmaceutical care, Human, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0171803
Code Inist : 002B30A04D. Création : 21/07/1998.