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Organisation of asthma care: what difference does it make?
1NHS Centre for Reviews and Dissemination, University of York.
Nursing Times
|August 20, 1997
Summary
Effective asthma care in the UK is variable. Specialist-led care appears more effective, and shared care between general practitioners and specialists is the most cost-effective approach.
Area of Science:
- Pulmonary Medicine
- Health Services Research
Background:
- Asthma is a significant cause of chronic illness in the UK.
- Current management quality for asthma varies widely.
- There is a lack of robust evidence regarding optimal asthma care organization.
Purpose of the Study:
- To systematically review existing literature on asthma care organization.
- To identify effective and cost-effective models for managing asthma patients.
- To highlight gaps in evidence for asthma management strategies.
Main Methods:
- Conducted a systematic literature review.
- Searched the Database of Abstracts of Reviews of Effectiveness (DARE).
- Synthesized findings on asthma care organization and effectiveness.
Main Results:
- Limited firm conclusions could be drawn due to evidence scarcity.
- Care delivered by medical specialists showed higher effectiveness.
- Shared care models involving general practitioners and specialists emerged as the most economical option.
Conclusions:
- Evidence for organizing asthma care is limited.
- Specialist involvement in asthma management is beneficial.
- Integrated care models offer potential for cost-effective asthma treatment.