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Related Experiment Videos

Asthma management programs in managed care organizations.

Christine W Hartmann1, Vittorio Maio, Neil I Goldfarb

  • 1Department of Health Policy, Jefferson Medical College, Philadelphia, Pennsylvania 19107, USA. christine.hartmann@jefferson.edu

Disease Management : DM
|December 15, 2005
PubMed
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Managed care organizations (MCOs) use education for asthma self-management, but face significant barriers. Current MCO asthma management strategies may not improve outcomes without innovative approaches to overcome these challenges.

Area of Science:

  • Health Services Research
  • Pulmonology
  • Public Health

Background:

  • Asthma management by managed care organizations (MCOs) is crucial for patient outcomes.
  • Understanding current MCO approaches and identifying barriers is essential for improving care.

Purpose of the Study:

  • To investigate MCOs' current asthma treatment and management strategies.
  • To identify factors affecting asthma outcomes within MCOs.

Main Methods:

  • A national Web-based survey was administered to 351 medical directors of MCOs.
  • The survey assessed asthma management program components, gaps, and barriers.
  • Data from 134 responding MCOs were analyzed.

Main Results:

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  • All responding MCOs monitor asthma patients.
  • Common management activities include member and provider education, and self-management support.
  • Key barriers include treatment noncompliance, medication misuse, and polypharmacy.

    • Conclusions:

    • MCOs employ various strategies, with a focus on patient self-management education.
    • Significant treatment barriers impede effective asthma care delivery.
    • Innovative approaches are needed for MCOs to achieve substantial improvements in asthma outcomes.