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Related Experiment Videos

Relationships between self-reported asthma utilization and patient characteristics.

David G Tinkelman1, David L McClure, Tanya L Lehr

  • 1Health Initiatives, National Jewish Medical and Research Center, Denver, Colorado 80206, USA. tinkelmand@njc.org

The Journal of Asthma : Official Journal of the Association for the Care of Asthma
|January 1, 2003
PubMed
Summary

Predicting future medical care use in asthma patients is possible. Key factors include prior oral steroid use, symptom frequency, age, gender, education, and employment status for better resource allocation.

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Area of Science:

  • Pulmonary Medicine
  • Healthcare Management

Background:

  • Effective resource allocation in asthma management requires identifying individuals prone to future medical care utilization.
  • Current models for predicting future healthcare needs in asthma patients are limited.

Purpose of the Study:

  • To investigate the relationship between patient characteristics and medical utilization within an asthma disease management program.
  • To identify predictors of future healthcare resource use among adult asthma patients.

Main Methods:

  • Analysis of 1412 adult participants in a 6-month asthma disease management program.
  • Collection of demographic, socioeconomic, and medical data at enrollment via telephone.
  • Statistical modeling to assess relationships between enrollment data and subsequent 6-month medical utilization.

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Main Results:

  • Significant predictors of medical utilization included oral steroid bursts, symptom frequency (day/night), age, gender, education, and employment status.
  • Higher utilization was associated with prior oral steroid use, frequent nighttime symptoms (>5/month), continuous daytime symptoms, younger age (<44), female gender, lower education, and unemployment due to asthma.
  • Older adults (45+) unemployed due to asthma showed higher utilization than younger counterparts.

Conclusions:

  • It is feasible to identify asthma patients at higher risk for future medical care utilization.
  • Further research is necessary to validate these findings and assess generalizability to the broader asthma population.