Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Improving the quality of care of patients with asthma: the example of patients with severely symptomatic disease
Autore:
Liu, XF; Farinpour, R; Sennett, C; Bowers, BW; Legorreta, AP;
Indirizzi:
Hlth Benchmarks Inc, Woodland Hills, CA 91367 USA Hlth Benchmarks Inc Woodland Hills CA USA 91367 dland Hills, CA 91367 USA GlaxoSmithKline, Res Triangle Pk, NC USA GlaxoSmithKline Res Triangle Pk NC USA ithKline, Res Triangle Pk, NC USA Univ Calif Los Angeles, Sch Publ Hlth, Dept Hlth Serv, Los Angeles, CA 90024 USA Univ Calif Los Angeles Los Angeles CA USA 90024 Los Angeles, CA 90024 USA
Titolo Testata:
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
fascicolo: 3, volume: 7, anno: 2001,
pagine: 261 - 269
SICI:
1356-1294(200108)7:3<261:ITQOCO>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
MANAGEMENT GUIDELINES; SOCIOECONOMIC-FACTORS; SPECIALTY CARE; UNITED-STATES; LARGE HMO; HOSPITALIZATION; PREVALENCE;
Keywords:
asthma; health care utilization; managed care; severe symptoms; sociodemographics;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Legorreta, AP Hlth Benchmarks Inc, 21650 Oxnard St,Suite 2150, Woodland Hills, CA 91367 USA Hlth Benchmarks Inc 21650 Oxnard St,Suite 2150 Woodland Hills CA USA 91367
Citazione:
X.F. Liu et al., "Improving the quality of care of patients with asthma: the example of patients with severely symptomatic disease", J EVAL CL P, 7(3), 2001, pp. 261-269

Abstract

The increasing economic burden of asthma care is incurred partly by patients with more severe symptoms. However, little is known about the characteristics of these severe asthma patients. This study examined sociodemographic, disease-specific characteristics and health care utilization that are related to asthma disease severity, for the purpose of identifying areas for treatment improvement. A total of 2927 asthma patients (12 years or older), who were continuously enrolled in one of three participating health plans for a 6-month study period and who responded to an asthma survey, were included in the study. Univariate and multivariate analyses were performed to examine the sociodemographic, disease-specific characteristics and health care utilization by asthma severity. About 25% of the patients reported experiencing severe asthma symptoms. They were more likely to be African-Americans, Hispanics, women, patients with less than a college education, residentsin the south-west, current smokers, and those receiving care from non-specialists. Severe asthmatics reported having less of an understanding of the clinical manifestation of asthma and the means to manage asthma exacerbation. Outpatient contacts did not differ significantly between severe and other patients, although their utilization of emergency room and inpatient carewas significantly greater. This study suggests that a significant proportion of asthma patients is experiencing severe symptoms and barriers other than access to care prevent appropriate control of asthma. Poor control appears to be related to smoking, deficits in knowledge about self-care, not receiving medical care from a specialist, and inadequate use of medications.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 09/04/20 alle ore 07:39:13