A randomized, controlled study to evaluate the role of an in-home asthma disease management program provided by respiratory therapists in improving outcomes and reducing the cost of care

摘要: Background and purpose. Asthma management programs (AMP) may reduce costs improve outcomes in patients with moderate to severe asthma. However, it is not known which personnel are best able deliver such interventions what settings most effective. The purpose of this study was compare the effects an in-home AMP provided by respiratory therapists (RTs) nurses (RNs) usual care (UC) physician offices or clinics. Methods. Subjects (age 18–64) who had been admitted emergency department (ED) hospital for acute asthma exacerbation were randomized three groups: AMP-RT, AMP-RN UC. groups received five () weekly home visits provide assessment instruction; UC group instructed return their routine follow-up. Outcomes assessed at 6 months included hospitalizations, patient days, hospitalization cost, ED clinic visits, pulmonary function, symptoms, health related quality life (H...