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
Rok vydání: 1999
Předmět:
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