Effectiveness of a computer-assisted asthma management program on physician adherence to guidelines

The Journal of Asthma : Official Journal of the Association for the Care of Asthma
Sang-Heon ChoByoung Whui Choi

Abstract

Asthma is an example of a chronic disease for which there are evidence-based guidelines for primary care. The authors undertook this study to demonstrate that physicians' use and adherence to asthma management guidelines are improved when the guidelines are furnished in a computer-based format. Based on established guidelines, the authors devised a practical and simple computer-assisted program focused on asthma treatment and monitoring. They then undertook a preliminary investigation, "Easy Asthma Management (EAM)" study, using this program. Finally, the authors evaluated the program's effectiveness by measuring clinical outcomes and changes in prescription patterns before and after the study. A total of 4682 asthma patients followed by 377 physicians were recruited, and 2187 completed the study (46.7%). The means of diurnal and nocturnal symptom scores were significantly reduced after a 3-month enrollment in the EAM study. Interestingly, the fraction of prescriptions for oral beta(2)-agonists, oral methylxanthines, and systemic steroids (oral or injection) significantly decreased after the EAM study (p = .02, p <.001, p <.001, respectively), whereas the fraction of prescriptions for inhaled forms of steroids combined with bet...Continue Reading

References

Oct 30, 1998·JAMA : the Journal of the American Medical Association·D L HuntK Smith
Mar 27, 1999·Journal of the American Medical Informatics Association : JAMIA·R N ShiffmanG J Corb
Feb 7, 1995·Quality in Health Care : QHC·J GrimshawT Sheldon
Jan 12, 2001·The European Respiratory Journal·K F RabeW C Maier
Aug 21, 2001·The European Respiratory Journal·P Bergquist, G K Crompton
Oct 24, 2001·International Journal of Medical Informatics·B Kaplan
Feb 13, 2003·Health Policy and Planning·Soonman Kwon
Feb 13, 2004·Health Technology Assessment : HTA·J M GrimshawC Donaldson
Mar 12, 2004·The Medical Journal of Australia·Martin P Eccles, Jeremy M Grimshaw
May 14, 2004·Respiratory Medicine·Peter J Barnes
Oct 16, 2004·Respiratory Medicine·Peter J Barnes
Mar 10, 2005·JAMA : the Journal of the American Medical Association·Amit X GargR Brian Haynes
Aug 3, 2005·Annals of Internal Medicine·Richard J BaronErica Wolf
Oct 8, 2005·International Archives of Allergy and Immunology·Roberto de MarcoUNKNOWN ISAYA Study Group
Nov 5, 2005·Respirology : Official Journal of the Asian Pacific Society of Respirology·Bin M Zin ZainudinUNKNOWN Asthma Insights and Reality in Asia-Pacific (AIRIAP) Steering Committee

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Citations

Sep 11, 2014·BMC Medical Informatics and Decision Making·Judith W DexheimerDominik Aronsky
Feb 22, 2012·Asia Pacific Allergy·Sae-Hoon Kim, Sang-Heon Cho
Apr 2, 2020·Journal of Korean Medical Science·Eun Jung JoYoon Seok Chang
Sep 17, 2021·European Respiratory Review : an Official Journal of the European Respiratory Society·Alexander G MathioudakisChrister Janson
Jun 10, 2011·Current Opinion in Cardiology

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