logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Long-term (3-year) economic evaluation of intensive patient education for self-management during the first year in new asthmatics.

    Article - En anglais

    Patient education and self-management programmes have proved effective in many studies with short follow-up periods.

    We studied the 3-year cost-effectiveness of an intensive programme of patient education and supervision for self-management.

    The study consisted of 162 consecutive newly diagnosed asthmatics who were randomized either into an intervention group (IG) receiving intensive patient education and supervision for self-management at an outpatient clinic during the first year, or a control group (CG) receiving conventional education at the baseline visits only.

    Both groups had 2 additional years of follow-up.

    Lung functions and health-related quality of life (HRQOL) were measured.

    Extra direct and indirect costs were recorded.

    At 3 years the differences in forced expiratory volume in 1 s (FEV1) and in peak expiratory flow (PEF) were significantly better in the IG being in (% predicted) respectively 5.3 (95% CI 0.6-10.0) and 4.4 (95% CI 0.1-8.7), (P<0.05).

    The airway responsiveness (PD15) did not differ significantly, but the improvement from baseline to 3 years was significantly greater in the IG, being 0.40 dose steps (95% CI 0.05-0.75) (P<0.05).

    HRQOL scores did not differ significantly.

    The risk for sickness day was less in the IG with a RR of 0.6 (95% Cl 0.50-0.69) (P=0.000) and among patients who used the PEF meter.

    The compliance was similar in both groups when measured by the PEF-based self-management. (...)

    Mots-clés Pascal : Asthme, Education santé, Malade, Analyse coût efficacité, Economie santé, VEMS, Long terme, Traitement, Homme, Appareil respiratoire pathologie, Bronchopneumopathie obstructive

    Mots-clés Pascal anglais : Asthma, Health education, Patient, Cost efficiency analysis, Health economy, Maximal expiratory volume per second, Long term, Treatment, Human, Respiratory disease, Obstructive pulmonary disease

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

    Cote : 99-0253969

    Code Inist : 002B11B. Création : 16/11/1999.