| Effectiveness of a computer-assisted asthma management program on physician adherence to guidelines. | |
| | |
MedLine Citation:
|
PMID: 20632781 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND AND OBJECTIVE: Asthma is an example of a chronic disease for which there are evidence-based guidelines for primary care. The authors undertook this study to demonstrate that physicians' use and adherence to asthma management guidelines are improved when the guidelines are furnished in a computer-based format. METHODS: Based on established guidelines, the authors devised a practical and simple computer-assisted program focused on asthma treatment and monitoring. They then undertook a preliminary investigation, "Easy Asthma Management (EAM)" study, using this program. Finally, the authors evaluated the program's effectiveness by measuring clinical outcomes and changes in prescription patterns before and after the study. RESULTS: A total of 4682 asthma patients followed by 377 physicians were recruited, and 2187 completed the study (46.7%). The means of diurnal and nocturnal symptom scores were significantly reduced after a 3-month enrollment in the EAM study. Interestingly, the fraction of prescriptions for oral beta(2)-agonists, oral methylxanthines, and systemic steroids (oral or injection) significantly decreased after the EAM study (p = .02, p <.001, p <.001, respectively), whereas the fraction of prescriptions for inhaled forms of steroids combined with beta(2)-agonists increased significantly (p <.001). CONCLUSIONS: These findings suggest that a computer-assisted asthma management program can be used to improve the clinical outcomes of patients with asthma, and increase physician adherence to established guidelines. |
| | |
Authors:
|
Sang-Heon Cho; Jae-Won Jeong; Heung-Woo Park; Bok-Yang Pyun; Suk-Il Chang; Hee-Bom Moon; You-Young Kim; Byoung Whui Choi |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: The Journal of asthma : official journal of the Association for the Care of Asthma Volume: 47 ISSN: 1532-4303 ISO Abbreviation: J Asthma Publication Date: 2010 Aug |
Date Detail:
|
Created Date: 2010-08-11 Completed Date: 2010-09-03 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8106454 Medline TA: J Asthma Country: England |
Other Details:
|
Languages: eng Pagination: 680-6 Citation Subset: IM |
Affiliation:
|
Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Anti-Asthmatic Agents
/
administration & dosage* Asthma / drug therapy*, immunology Chi-Square Distribution Decision Making, Computer-Assisted Disease Management Forced Expiratory Volume Guideline Adherence* Guidelines as Topic Humans Physicians |
| Chemical | |
Reg. No./Substance:
|
0/Anti-Asthmatic Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Who were the male founders of rural Brazilian Afro-derived communities? A proposal based on three po...
Next Document: Age and Sex Influences on Airway Hyperresponsiveness.