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Effects of an asthma management program on the asthmatic member: patient-centered results of a 2-year study in a managed care organization.
Am J Manag Care. 1998 Sep; 4(9):1288-97.AJ

Abstract

OBJECTIVE

To report the results of a 2-year pilot program of asthma education based on National Heart, Lung, and Blood Institute treatment guidelines.

PATIENTS AND METHODS

Asthmatic members (n = 6698) of a managed care organization received education about their condition directly or through their primary care physician. Medical and pharmacy administrative claims data were reviewed to measure acute asthma events and prescribed therapies in the first (the baseline) and second years of the study. The claims data were augmented by member surveys from a stratified random sample of 2734 asthmatic patients who were members (6 years of age or older) in the baseline year.

RESULTS

Compared with the first year, asthmatic members received fewer inpatient services and the proportion of asthmatic members prescribed oral inhaled corticosteroids increased 30% in the second year. Health-related quality of life, measured with validated general and disease-specific instruments; satisfaction with the quality of care; exposure to patient education; knowledge of the disease; and member's confidence in their ability to manage their disease showed statistically significant improvements during the follow-up year of the program for both adult and child asthmatic members.

CONCLUSION

For asthmatic members of this health plan, a comprehensive asthma health management program improved processes of care and outcomes.

Authors+Show Affiliations

Schering-Plough, Kenilworth, NJ 07033, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

10185979

Citation

Buchner, D A., et al. "Effects of an Asthma Management Program On the Asthmatic Member: Patient-centered Results of a 2-year Study in a Managed Care Organization." The American Journal of Managed Care, vol. 4, no. 9, 1998, pp. 1288-97.
Buchner DA, Butt LT, De Stefano A, et al. Effects of an asthma management program on the asthmatic member: patient-centered results of a 2-year study in a managed care organization. Am J Manag Care. 1998;4(9):1288-97.
Buchner, D. A., Butt, L. T., De Stefano, A., Edgren, B., Suarez, A., & Evans, R. M. (1998). Effects of an asthma management program on the asthmatic member: patient-centered results of a 2-year study in a managed care organization. The American Journal of Managed Care, 4(9), 1288-97.
Buchner DA, et al. Effects of an Asthma Management Program On the Asthmatic Member: Patient-centered Results of a 2-year Study in a Managed Care Organization. Am J Manag Care. 1998;4(9):1288-97. PubMed PMID: 10185979.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of an asthma management program on the asthmatic member: patient-centered results of a 2-year study in a managed care organization. AU - Buchner,D A, AU - Butt,L T, AU - De Stefano,A, AU - Edgren,B, AU - Suarez,A, AU - Evans,R M, PY - 1998/8/5/pubmed PY - 1998/8/5/medline PY - 1998/8/5/entrez SP - 1288 EP - 97 JF - The American journal of managed care JO - Am J Manag Care VL - 4 IS - 9 N2 - OBJECTIVE: To report the results of a 2-year pilot program of asthma education based on National Heart, Lung, and Blood Institute treatment guidelines. PATIENTS AND METHODS: Asthmatic members (n = 6698) of a managed care organization received education about their condition directly or through their primary care physician. Medical and pharmacy administrative claims data were reviewed to measure acute asthma events and prescribed therapies in the first (the baseline) and second years of the study. The claims data were augmented by member surveys from a stratified random sample of 2734 asthmatic patients who were members (6 years of age or older) in the baseline year. RESULTS: Compared with the first year, asthmatic members received fewer inpatient services and the proportion of asthmatic members prescribed oral inhaled corticosteroids increased 30% in the second year. Health-related quality of life, measured with validated general and disease-specific instruments; satisfaction with the quality of care; exposure to patient education; knowledge of the disease; and member's confidence in their ability to manage their disease showed statistically significant improvements during the follow-up year of the program for both adult and child asthmatic members. CONCLUSION: For asthmatic members of this health plan, a comprehensive asthma health management program improved processes of care and outcomes. SN - 1088-0224 UR - https://www.unboundmedicine.com/medline/citation/10185979/Effects_of_an_asthma_management_program_on_the_asthmatic_member:_patient_centered_results_of_a_2_year_study_in_a_managed_care_organization_ L2 - https://www.ajmc.com/pubMed.php?pii=1596 DB - PRIME DP - Unbound Medicine ER -