Implementing Health Care Technology Research into Practice to Improve Adult Asthma Management
| Autor: | Cathy Tacinas, Glenn K. Goodrich, Peter J. Cvietusa, Debra P. Ritzwoller, David A. Steffen, Jo Ann Shoup, Nicole M. Wagner, Bruce G. Bender, Courtney B. Anderson |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Technology Biomedical Research Exacerbation Article Medication Adherence 03 medical and health sciences Young Adult 0302 clinical medicine Adrenal Cortex Hormones Intervention (counseling) Health care medicine Immunology and Allergy Humans 030212 general & internal medicine Anti-Asthmatic Agents Medical prescription Asthma COPD business.industry Health technology Emergency department Middle Aged medicine.disease 030228 respiratory system Emergency medicine Female business Speech Recognition Software Delivery of Health Care |
| Popis: | BACKGROUND: Use of health technology has shown potential to improve asthma adherence and outcomes.Few studies have looked at the implementation of such research within larger asthma populations. OBJECTIVE: This report examines the process of translating results from a pragmatic trial using speech recognition (SR) in children with persistent asthma into standard operating procedure within a large health maintenance organization. Medication adherence and outcomes in adults with asthma were examined. METHODS: The SR protocol was implemented for the total Kaiser Permanente Colorado (KPCO) patient population of 480,142, of which 36,356 had asthma. Patients had persistent asthma, filled one or more inhaled corticosteroid prescriptions in the prior six months, and remained continuously enrolled with KPCO for two years. Documented exacerbations included presence of a hospitalization, emergency room visit, or course of oral steroid where asthma was the principle diagnosis. Adherence and exacerbation events were compared one-year pre and one year post intervention for 4,510 adults ages 19–64. RESULTS: Patient adherence demonstrated a small but significant improvement from 39.5% to 41.7% (p |
| Databáze: | OpenAIRE |
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