Effects of physician-related factors on adult asthma care, health status, and quality of life

The American Journal of Medicine
Paul D BlancMark D Eisner

Abstract

To study the association of physician characteristics, the characteristics of their practice settings, patient mix, and reported frequency of prescribing asthma medication with patients' health status and health-related quality of life in asthma. We conducted a mail-back survey of physicians (n = 147) that included demographic characteristics, practice and training characteristics, and reported prescribing frequencies for common asthma treatments. We also conducted structured telephone interviews with 317 of their patients, assessing demographic characteristics, health status (as measured by the Short Form-12 [SF-12] physical component score), and asthma-specific quality of life (as measured by the Marks questionnaire). In adjusted analyses, pulmonary specialists were more likely to report using leukotriene modifiers (odds ratio [OR] = 4.7; 95% confidence interval [CI]: 1.2 to 18) and theophylline (OR = 3.0; 95% CI: 1.0 to 9.0) in adult patients with asthma. Working in a practice of >75% health maintenance organization (HMO)- or preferred provider organization (PPO)-insured patients was associated with a lower likelihood of prescribing leukotriene modifiers (OR = 0.1; 95% CI: 0.01 to 0.5). Adjusting for patient demographic char...Continue Reading

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References

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Citations

Jul 13, 2011·The American Journal of Medicine·William N SouthernJulia H Arnsten
Feb 12, 2010·Revue des maladies respiratoires·A J Kone PefoyoM Rivard
Jan 21, 2009·The Journal of Allergy and Clinical Immunology·John R BalmesPaul D Blanc
May 17, 2008·Heart & Lung : the Journal of Critical Care·Susan L JansonPaul D Blanc
Jul 24, 2004·Journal of the American Geriatrics Society·Elizabeth A PhelanEdward H Wagner
Dec 29, 2016·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Beatriz González-Freire, Isabel Vázquez
Feb 21, 2013·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Jongwha ChangRajesh Balkrishnan
Apr 13, 2005·Journal of Occupational and Environmental Medicine·Paul D BlancEdward H Yelin
Jul 11, 2008·Mayo Clinic Proceedings·Hubert ChenElliot Israel

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