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 (15...
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| Veröffentlicht in: | Social science & medicine (1982) 1998-04, Vol.46 (8), p.1087-1093 |
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| container_title | Social science & medicine (1982) |
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| creator | Ghosh, C.S. Ravindran, P. Joshi, M. Stearns, Sally C. |
| description | 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. |
| doi_str_mv | 10.1016/S0277-9536(97)10047-8 |
| format | Article |
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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.</description><identifier>ISSN: 0277-9536</identifier><identifier>EISSN: 1873-5347</identifier><identifier>DOI: 10.1016/S0277-9536(97)10047-8</identifier><identifier>PMID: 9579760</identifier><identifier>CODEN: SSMDEP</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Allergic diseases ; Asthma ; Asthma - economics ; Asthma - rehabilitation ; Biological and medical sciences ; Child ; Chronic asthma ; chronic bronchial asthma ; chronic bronchial asthma randomized trial cost effectiveness analysis ; Cost Control ; cost effectiveness analysis ; Cost of Illness ; Costs ; Factors ; Female ; Follow-Up Studies ; Health care ; Health Services Misuse - economics ; Health Services Misuse - statistics & numerical data ; Health Status ; Hospitalization ; Hospitals ; Humans ; Illness ; Immunopathology ; India ; Male ; Medical sciences ; Medicine ; Middle Aged ; Morbidity ; Mortality ; Patient Education as Topic - economics ; Patient Readmission - economics ; Patient Readmission - statistics & numerical data ; Patients ; Prevention and actions ; Public health. 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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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Allergic diseases</subject><subject>Asthma</subject><subject>Asthma - economics</subject><subject>Asthma - rehabilitation</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Chronic asthma</subject><subject>chronic bronchial asthma</subject><subject>chronic bronchial asthma randomized trial cost effectiveness analysis</subject><subject>Cost Control</subject><subject>cost effectiveness analysis</subject><subject>Cost of Illness</subject><subject>Costs</subject><subject>Factors</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health care</subject><subject>Health Services Misuse - economics</subject><subject>Health Services Misuse - statistics & numerical data</subject><subject>Health Status</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Illness</subject><subject>Immunopathology</subject><subject>India</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Patient Education as Topic - economics</subject><subject>Patient Readmission - economics</subject><subject>Patient Readmission - statistics & numerical data</subject><subject>Patients</subject><subject>Prevention and actions</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>randomized trial</subject><subject>Reduction</subject><subject>Respiratory and ent allergic diseases</subject><subject>Self Care - economics</subject><subject>Selfmanagement programmes</subject><subject>Specific populations (family, woman, child, elderly...)</subject><issn>0277-9536</issn><issn>1873-5347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>X2L</sourceid><sourceid>BHHNA</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkltr3DAQhU1pSbdpf0JAlNLLg1vJki3pKZTQGywEenkW2vEoq2BLW8kO5N9X3t3uQx-aB2lA853DDEdVdcHoe0ZZ9-EHbaSsdcu7t1q-Y5QKWatH1YopyeuWC_m4Wp2Qp9WznG8ppYwqflad6VZq2dFVdf0d-xkmH0MmPpBtzDs_2YHMGYlLcSQZB0dGG-wNjhgmMiXrgw83xMVEYJti8EBsnrajnTzk59UTZ4eML471vPr1-dPPq6_1-vrLt6uP6xpaoabagXMatOBdKzh20PQC-kY5obnUPW56YbVqoWksqNZ2m6alylLVFaizZXh-Xr05-O5S_D1jnszoM-Aw2IBxzkZxzRgVDS3k6_-SUiuuqGoeBFsplFCdKODLf8DbOKdQ1jUNp6KYcVWg9gBBijkndGaX_GjTvWHULAGafYBmScdoafYBmkW3PugS7hBOIkTMEUbszZ3hVnTlui-Haa1K8eUsdbc8UbW4aW6201jsLo6zzptF_dfv-AFK_9WxbzPYwSUbwOcT1jDF6R67PGBYMr3zmEwGjwGw9wlhMn30D-z1B-Cy0B4</recordid><startdate>19980401</startdate><enddate>19980401</enddate><creator>Ghosh, C.S.</creator><creator>Ravindran, P.</creator><creator>Joshi, M.</creator><creator>Stearns, Sally C.</creator><general>Elsevier Ltd</general><general>Elsevier</general><general>Pergamon Press Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>DKI</scope><scope>X2L</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>WZK</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>19980401</creationdate><title>Reductions in hospital use from self management training for chronic asthmatics</title><author>Ghosh, C.S. ; Ravindran, P. ; Joshi, M. ; Stearns, Sally C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c548t-fcff9c9436543e6c2d4cd28f49379debd4a985c22ac85a6b2508a086cd26a9573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Allergic diseases</topic><topic>Asthma</topic><topic>Asthma - economics</topic><topic>Asthma - rehabilitation</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Chronic asthma</topic><topic>chronic bronchial asthma</topic><topic>chronic bronchial asthma randomized trial cost effectiveness analysis</topic><topic>Cost Control</topic><topic>cost effectiveness analysis</topic><topic>Cost of Illness</topic><topic>Costs</topic><topic>Factors</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health care</topic><topic>Health Services Misuse - economics</topic><topic>Health Services Misuse - statistics & numerical data</topic><topic>Health Status</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Illness</topic><topic>Immunopathology</topic><topic>India</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Patient Education as Topic - economics</topic><topic>Patient Readmission - economics</topic><topic>Patient Readmission - statistics & numerical data</topic><topic>Patients</topic><topic>Prevention and actions</topic><topic>Public health. Hygiene</topic><topic>Public health. 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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.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>9579760</pmid><doi>10.1016/S0277-9536(97)10047-8</doi><tpages>7</tpages></addata></record> |
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| ispartof | Social science & medicine (1982), 1998-04, Vol.46 (8), p.1087-1093 |
| issn | 0277-9536 1873-5347 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; RePEc; Elsevier ScienceDirect Journals Complete; Sociological Abstracts |
| subjects | Adolescent Adult Allergic diseases Asthma Asthma - economics Asthma - rehabilitation Biological and medical sciences Child Chronic asthma chronic bronchial asthma chronic bronchial asthma randomized trial cost effectiveness analysis Cost Control cost effectiveness analysis Cost of Illness Costs Factors Female Follow-Up Studies Health care Health Services Misuse - economics Health Services Misuse - statistics & numerical data Health Status Hospitalization Hospitals Humans Illness Immunopathology India Male Medical sciences Medicine Middle Aged Morbidity Mortality Patient Education as Topic - economics Patient Readmission - economics Patient Readmission - statistics & numerical data Patients Prevention and actions Public health. Hygiene Public health. Hygiene-occupational medicine randomized trial Reduction Respiratory and ent allergic diseases Self Care - economics Selfmanagement programmes Specific populations (family, woman, child, elderly...) |
| title | Reductions in hospital use from self management training for chronic asthmatics |
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