The impact of disease management on outcomes and cost of care: a study of low-income asthma patients.

作者: Shasky C , Whitehurst-Cook My , Ibrahim Ia , Lee K , Okasha A

DOI:

关键词: MedicaidCost of careAdverse effectIntervention (counseling)General partnershipMedicineDisease management (health)Medical emergencyQuarter (United States coin)Asthma

摘要: An asthma disease management program designed specifically for low-income patients experiencing significant adverse events can improve health outcomes substantially, while lowering costs. The Virginia Health Outcomes Partnership aimed to help physicians in a fee-for-service primary care case manage Medicaid recipients. Approximately one-third of treating an area designated as the intervention community volunteered participate training on and communication skills. This large-scale study discovered that rate emergency visit claims participating who received feedback reports dropped average 41% from same quarter year earlier, compared only 18% comparison physicians. Although third participated training, rates all nonetheless declined by 6% relative among moderate-to-severe when data nonparticipating were combined. At time, dispensing some reliever drugs recommended increased 25% community. A cost-effectiveness analysis projected direct savings $3 $4 every incremental dollar spent providing support results this demonstrate potential offers, especially programs other states want their networks and, at

参考文章(11)
Peter G Gibson, Philippa I Talbot, Jon Hancock, Michael J Hensley, A prospective audit of asthma management following emergency asthma treatment at a teaching hospital. The Medical Journal of Australia. ,vol. 158, pp. 775- 778 ,(1993) , 10.5694/J.1326-5377.1993.TB121962.X
Ellen F. Crain, Pediatric Asthma Care in US Emergency Departments Archives of Pediatrics & Adolescent Medicine. ,vol. 149, pp. 893- 901 ,(1995) , 10.1001/ARCHPEDI.1995.02170210067012
Lawrence S. Wissow, Case Management and Quality Assurance to Improve Care of Inner-city Children With Asthma Archives of Pediatrics & Adolescent Medicine. ,vol. 142, pp. 748- 752 ,(1988) , 10.1001/ARCHPEDI.1988.02150070062026
Paul H. Mayo, Barry J. Weinberg, Benjamin Kramer, Julieta Rickman, Ock-Soon Seibert-Choi, Mark J. Rosen, Results of a program to improve the process of inpatient care of adult asthmatics. Chest. ,vol. 110, pp. 48- 52 ,(1996) , 10.1378/CHEST.110.1.48
R. Jayasuriya, V. Westley-Wise, T. Dunn, K. Nydam, D. Jeffs, Managing asthma in accident and emergency departments: an assessment in non teaching hospitals Australian and New Zealand Journal of Medicine. ,vol. 23, pp. 672- 677 ,(1993) , 10.1111/J.1445-5994.1993.TB04725.X
Louis-Philippe Boulet, Hélène Boutin, Johanne Côté, Pierre Leblanc, Michel Laviolette, Evaluation of an Asthma Self-Management Education Program Journal of Asthma. ,vol. 32, pp. 199- 206 ,(1995) , 10.3109/02770909509089508
J Cunningham, D W Dockery, F E Speizer, Race, asthma, and persistent wheeze in Philadelphia schoolchildren. American Journal of Public Health. ,vol. 86, pp. 1406- 1409 ,(1996) , 10.2105/AJPH.86.10.1406
Y Wasilewski, N M Clark, D Evans, M J Levison, B Levin, R B Mellins, Factors associated with emergency department visits by children with asthma: implications for health education. American Journal of Public Health. ,vol. 86, pp. 1410- 1415 ,(1996) , 10.2105/AJPH.86.10.1410
Charles J. Homer, Asthma Disease Management The New England Journal of Medicine. ,vol. 337, pp. 1461- 1463 ,(1997) , 10.1056/NEJM199711133372010
Knapp De, Burt Cw, Ambulatory care visits for asthma: United States, 1993-94. Advance data. pp. 1- ,(1996)