Dispensary control of bronchial asthma
Abstract
Outpatient care for bronchial asthma patients, is one of the primary problems of the Russian healthcare.
The article shows an analysis of 4-year work for outpatient management of asthma patients based on a pharmacoeconomic modelling method. A gradual implication of GINA principles allowed to improve the asthma detection in 4 times, to reduce a number of admitting to a hospital and of emergency care calls in 5.8 and 4.8 times accordingly. Treatment expenses for one asthma patient in the polyclinic №15 considering hospitalizations and privilege medication cost was 43% less than totally at Samara city.
An analysis of quality of life using the SF-36 questionnaire demonstrated the asthma patients observed in the polyclinic №15 to have a higher quality of life compared with other asthma patients at Samara especially on the criteria of their social activity and mental status.
About the Authors
L. S. Fedoseeva
ММУ городская поликлиника №15, городской "астма-центр";
НИИ пульмонологии Минздрава РФ
Russian Federation
Russian Federation
V. I. Kupayev
ММУ городская поликлиника №15, городской "астма-центр";
НИИ пульмонологии Минздрава РФ
Russian Federation
Russian Federation
N. V. Butsyk
ММУ городская поликлиника №15, городской "астма-центр";
НИИ пульмонологии Минздрава РФ
Russian Federation
Russian Federation
N. Yu. Senkevich
ММУ городская поликлиника №15, городской "астма-центр";
НИИ пульмонологии Минздрава РФ
Russian Federation
Russian Federation
References
1. Черняк А.В., Сахарова Г.М., Чучалин А.Г. Эффективность бекламетозона дипропионата при длительном применении у больных бронхиальной астмой. Пульмонология 1998; 3: 77-80.
2. Чучалин А.Г. (ред.) Бронхиальная астма. М.: Агар; 1997; Т. 1.
3. Burney P. Why studies the epidemiology of asthma? Thorax 1988; 43: 425-428.
4. Global initiative for asthma. Global strategy for asthma. Management and prevention. N H L B I/ W H O workshop report. 1993. Bethesda; 1995.
5. Gregg J. Epidemiological researches in asthma: the need for broad perspective. Clin. Allergy 1986; 16: 17-23.
6. Jackson R., Sears M.R., Beaglehole R., Rea H.H. International trends in asthma. Chest 1988; 94: 914-919.
7. Reed C.E. Aerosol glucocorticoid treatment of asthma. Adults. Am. Rev. Respir. Dis. 1990; 141: S82-S88.
Review
For citations:
Fedoseeva L.S., Kupayev V.I., Butsyk N.V., Senkevich N.Yu. Dispensary control of bronchial asthma. PULMONOLOGIYA. 2002;(5):72-76. (In Russ.)
Views:
464
Email this article 