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Disease management programs for patients with asthma in Germany: a longitudinal population-based study.
Michael Mehring1, Ewan Donnachie, Robert Mutschler
1Institute of General Practice, Technische Universität München, Orleansstraße 47, Munich, Germany. michael.mehring@lrz.tum.de
Respiratory Care
|October 31, 2012
Summary
The German Disease Management Program (DMP) for asthma improved patient care by increasing self-management education and adherence to guidelines, while reducing oral corticosteroid use and hospitalizations.
Area of Science:
- Pulmonology
- Public Health
- Health Services Research
Background:
- The Disease Management Program (DMP) for asthma in Germany aimed to enhance patient outcomes and reduce healthcare costs.
- Despite its goals, the program's effectiveness remained debated five years post-implementation.
Purpose of the Study:
- To evaluate the impact and effectiveness of the asthma DMP in Bavaria.
- Utilized routinely collected medical records for a comprehensive assessment.
Main Methods:
- Longitudinal population-based study design.
- Included over 100,000 participants enrolled in the asthma DMP.
- Data collected from 2006 to 2010.
Main Results:
- Significant reduction in oral corticosteroid prescription rates (15.7% to 5.9%).
- Increased asthma self-management education (4.4% to 23.4%) and action plan utilization (40.3% to 69.3%).
- Marked decrease in asthma-related hospitalizations (2.8% to 0.7%).
Conclusions:
- The German asthma DMP demonstrated improvements in pharmacotherapy and patient self-management within its first four years.
- The program effectively reduced the need for hospitalizations among participants.
- Results indicate the DMP enhanced care quality, improving symptom frequency, guideline adherence, and overall management.
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