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  1. The impact on a health care system of a Program to facilitate self-care.

    Article - En anglais

    Background 

    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.

    Methods 

    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).

    Results 

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0171803

    Code Inist : 002B30A04D. Création : 21/07/1998.