Impact Of An Asthma Care Programme On Process And Cost Outcome Amongst Children With Asthma In Two Major Hospitals In Malaysia
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Date
2012-04
Authors
Zainal, Ramli
Journal Title
Journal ISSN
Volume Title
Publisher
Universiti Sains Malaysia
Abstract
Childhood asthma is one of the most common chronic diseases. Due to its high prevalence, asthma places a considerable economic burden on the health care system and society. Optimal management can help to control the disorder and various interventions have been put into place based on recommendations of clinical practice guidelines (CPGs). However despite the availability of these CPGs and effective pharmacotherapy, care often fall short of the accepted best practices. This study was aimed at assessing the current management of paediatric patients in terms of guideline adherence and to evaluate the impact of a structured Asthma Care Programme (ACP) on resource utilisation and cost associated with the management of asthma. A retrospective review of medical records at 2 major hospitals to assess the level of adherence to the guideline. Eleven key clinical indicators were used to measure adherence. A quasi-experimental, pre-post study with control group was used to evaluate the effectiveness of the ACP. Patients under the ACP received care as recommended by CPGs which include optimal care by physician, asthma education during hospitalisation and asthma action plan. The outcome measures were the rate of re-hospitalisation and re-attendances to emergency department (ED). Resource utilisation and cost of care were also evaluated.
Description
Keywords
Asthma Care Programme (ACP) on resource utilisation , cost associated with the management of asthma