Original Article Reduction in the number of asthma-related hospital admissions after the implementation of a multidisciplinary asthma control program in the city of Londrina, Brazil* Redução do número de internações hospitalares por asma após a implantação de programa multiprofissional de controle da asma na cidade de Londrina

摘要: Objective: To evaluate the relationship between reduction in number of asthma-related hospital admissions and changes occurring after intervention performed health care system city Londrina, Brazil. Methods: In 2003, an was local (Family Health Clinics) The steps adopted were as follows: development a protocol based on III Brazilian Consensus Asthma Management; access to free inhaled corticosteroids for patients; training professionals; implementation educational measures, especially community. authorizations admission patients diagnosed with asthma alone 2002 2005 Londrina analyzed. Results: mean age 14.3 ± 0.5 years, without gender predominance. fell more markedly than previous years studied. This decline pronounced at Family Clinics where professional occurred earlier. post-intervention (2004-2005) rate (120/100,000 inhabitants) significantly lower pre-intervention (2002-2003) (178/100,000 inhabitants; p < 0.01). Conclusions: curve showed tendency toward and, aside from performed, no other factors that would explain results obtained identified. which decreased direct proportion length time elapsed since (greater decreases over time). We conclude responsible data presented.