Long-term (3-year) economic evaluation of intensive patient education for self-management during the first year in new asthmatics
Autor: | R. Kauppinen, V. Vilkka, Harri Sintonen, H. Tukiainen |
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Rok vydání: | 1999 |
Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Adolescent Vital Capacity Peak Expiratory Flow Rate Indirect costs Quality of life Patient Education as Topic Adrenal Cortex Hormones Nedocromil Internal medicine Forced Expiratory Volume medicine Outpatient clinic Humans Anti-Asthmatic Agents Asthma Aged Self-management business.industry Middle Aged medicine.disease VEMS Physical therapy Quality of Life Health education Female Patient Participation business Patient education Program Evaluation |
Zdroj: | Respiratory Medicine. 93(4):283-289 |
ISSN: | 0954-6111 |
DOI: | 10.1016/s0954-6111(99)90026-4 |
Popis: | 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 (FEV1) 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), (P |
Databáze: | OpenAIRE |
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