Reductions in hospital use from self management training for chronic asthmatics.
The purpose of this study was to assess the impact of asthma Self Management Training on the health status and resource use of patients with chronic asthma.
The study consisted of a randomized control design of chronic asthmatic patients in a tertiary care center in India.
The intervention group (153 patients) received four training sessions in addition to the regular care provided to the control group (150 patients).
Health status and resource use were measured at baseline and over a one year follow-up period.
The intervention group had significantly better health status (measured by breathing ability), fewer productive days lost, and lower resource use (hospitalizations and emergency room visits) than the control group.
Total annual costs (direct and indirect) were also lower, though physician costs were not included in the assessment.
Therefore, incorporation of asthma Self Management Training as part of clinical management of asthma can result in improvements in health status and reductions in hospital use.
Mots-clés Pascal : Education santé, Asthme, Chronique, Homme, Santé, Utilisation, Service santé, Hôpital, Analyse coût efficacité, Economie santé, Programme sanitaire, Evaluation, Inde, Asie, Appareil respiratoire pathologie, Bronchopneumopathie obstructive, Allergie, Immunopathologie, Soin autogéré
Mots-clés Pascal anglais : Health education, Asthma, Chronic, Human, Health, Use, Health service, Hospital, Cost efficiency analysis, Health economy, Sanitary program, Evaluation, India, Asia, Respiratory disease, Obstructive pulmonary disease, Allergy, Immunopathology, Selfcare
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0195610
Code Inist : 002B30A03B. Création : 11/09/1998.