| Autor: |
Amaia Garcia, Mª Iciar Arrizubieta, Ane Uranga, José M. Quintana, Sandra Dorado, Begoña Gutiérrez, Amaia Artaraz, Silvia Pascual, Aitor Ballaz, Rafael Arruabarrena, Isabel Urrutia, Alberto Capelastegui, Mateo Larrauri, Urko Aguirre, Leire Sainz de Aja, Ane Antón, José Ferri, Amaia Aramburu, Txomin Zabala, José Luis Bilbao, Helena Azcuna |
| Rok vydání: |
2015 |
| Předmět: |
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| Zdroj: |
1.6 General Practice and Primary Care. |
| DOI: |
10.1183/13993003.congress-2015.oa4790 |
| Popis: |
Asthma overdiagnosis is related to the lack of objective tests. Great health resources in asthma: 1,726€/year/patient in Spain. 1555.70€ of an exacerbation managed in hospital vs 166.70€ of one treated in GP. AIM: To assess the impact in asthma prevalence and management of exacerbations after a collaborative care environment and the implementation of GEMA on computerised medical records in GP clinics. Methods: Multidisciplinary quasi-experimental study. The intervention started in 2010 in the inner region of Biscay, based on the implementation of the computerised GEMA in 7 GP clinics and a collaborative care environment between GP and Pulmonology department. Asthmatic patients from GP clinics are included. Results: Tab.1: Asthma prevalence in populations from the same area. It shows a probable asthma overdiagnosis. Tab.2: Sample of 400 patients: There´re more asthma exacerbations in the intervention group, according to the probable asthma overdiagnosis in healthy people. Tab.3: It shows more visits to emergency room and hospital admissions in exacerbated asthmatic patients from the control group. Conclusions: The intervention avoids asthma overdiagnosis and favours the management of asthma exacerbations in GP, decreasing visits to emergency room or hospital admissions. So it would probably save health economic resources. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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