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Asthma outpatient education by multiple implementation strategy. Outcome of a programme using a personal notebook
J-M Tschopp1, J-G Frey, J-P Janssens
1Centre Valaisan de pneumologie et Groupe d'éducation respiratoire, 3963 Crans-Montana, Switzerland. jean-marie.tschopp@admin.vs.ch
Respiratory Medicine
|March 1, 2005
Summary
Implementing an interdisciplinary patient education program significantly improved asthma quality of life and reduced healthcare utilization. This asthma management strategy is cost-effective and adaptable for community-based care.
Area of Science:
- Pulmonary Medicine
- Health Services Research
- Patient Education
Background:
- International asthma guidelines show poor implementation over a decade.
- New strategies are needed for effective outpatient and community-based asthma care.
- Patient and healthcare professional expectations must be considered for improved adherence.
Purpose of the Study:
- To evaluate the impact of a bilingual, interdisciplinary education program on asthma management.
- To assess changes in health service utilization and quality of life post-intervention.
- To determine the cost-effectiveness of the community-based asthma care program.
Main Methods:
- A bilingual education program with a brochure was developed to support an interdisciplinary healthcare network.
- Key metrics including hospitalizations, work absenteeism, emergency visits, asthma medication use, and quality of life were measured.
- Data was collected 12 months before and after the intervention for comparison.
Main Results:
- Quality of life scores significantly improved post-intervention.
- Health service utilization decreased dramatically: hospitalizations by 35.8%, work absenteeism by 39.14%, and emergency visits by 88.53%.
- The program demonstrated a cost-benefit ratio of 1.96.
Conclusions:
- An interdisciplinary patient education strategy is cost-effective for asthma management.
- The program enhances quality of life for asthma patients and reduces the burden on health services.
- This community-focused healthcare network is adaptable and requires minimal infrastructure.
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