The experience of implementation of anti-asthmatic programme in Smolensk

Abstract

The efficacy of the programme implemented in 1995 in Smolensk for preventing bronchial asthma, patients’ rehabilitation and provision with drugs was estimated. This programme was based on the number of patients admitted to the city hospitals with asthma exacerbation, on the quantity of asthmatic states and on the direct expense of city budget for asthmatic patients’ treatment in the city hospitals and polyclinics. The structure of anti-asthmatic therapy in 1992—1997 was also analyzed.
The implementation of the anti-asthmatic programme based on the modern treatment tactics has led to the diffusion of anti-inflammatory therapy due to the prevalent use of inhaled glucocorticoids and selective β₂-agonists. This process was accompanied to reduction of asthmatic exacerbation number and to conversion of the disease to milder forms with long remission periods. At the same time the number of hospitalizations has diminished in 2 times and the number of patients admitted to the hospitals with asthmatic state — in 6 times. The cost-effectiveness of the reduction of hospitalization number by 485 cases per year was more than 103000 USD.