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Is asthma self-management cost-effective?

B Liljas1, A Lahdensuo

  • 1Astra Draco AB, Lund, Sweden. bengt.liljas@draco.se.astra.com

Patient Education and Counseling
|March 28, 1998
PubMed
Summary

Asthma self-management and educational programs are effective and cost-effective interventions for both children and adults. These programs may offer greater societal savings than initially reported, especially for high-risk individuals.

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Area of Science:

  • Pulmonary Medicine
  • Health Economics

Background:

  • Asthma self-management and educational programs are clinically effective.
  • Concerns exist regarding program costs and potential increases in drug expenses due to compliance.
  • Potential healthcare resource utilization and work absence reductions warrant cost-effectiveness evaluation.

Purpose of the Study:

  • To review the evidence on the cost-effectiveness of asthma self-management and educational programs.
  • To identify methodological limitations in existing studies and suggest improvements.

Main Methods:

  • Systematic review of existing literature on the cost-effectiveness of asthma self-management and educational programs.
  • Analysis of reported costs, benefits, and methodological quality of included studies.

Main Results:

  • Asthma self-management and educational programs are generally cost-effective for both pediatric and adult populations.
  • Programs targeting high-risk groups and severe asthma cases demonstrate enhanced cost-effectiveness.
  • Many studies exclude costs associated with work absence, potentially underestimating societal savings.
  • Observed effects often extend beyond the initial year, suggesting long-term cost-effectiveness may be underestimated.

Conclusions:

  • Asthma self-management and educational programs represent a cost-effective healthcare intervention.
  • Further research with robust methodologies, including long-term follow-up and societal cost considerations, is recommended.
  • These programs offer significant value, particularly for specific patient subgroups, contributing to better asthma management and reduced healthcare burden.

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