Long-term (3-year) economic evaluation of intensive patient education for self-management during the first year in new asthmatics
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 ast...
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Veröffentlicht in: | Respiratory medicine 1999-04, Vol.93 (4), p.283-289 |
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Sprache: | eng |
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Zusammenfassung: | 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 (FEV
1) 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), (
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ISSN: | 0954-6111 1532-3064 |
DOI: | 10.1016/S0954-6111(99)90026-4 |