OBJECTIVE: To assess the impact of a population-based disease management programme for adult patients with asthma or chronic obstructive pulmonary disease (COPD) on process measures, intermediate outcomes, and endpoints of care. DESIGN: Quasi-experimental design with 12-month follow-up. SETTING: Region of Maastricht (the Netherlands) including university hospital and 16 general practices. PARTICIPANTS: Nine hundred and seventy-five patients of whom 658 have asthma and 317 COPD. INTERVENTION: Disease management programme. MAIN OUTCOME MEASURE(S): Endpoints of care are respiratory health, health utility, patient satisfaction, and total health care costs related to asthma or COPD. RESULTS: Quality aspects of care, disease control, self-care behaviour, smoking status, disease-specific knowledge, and patients' satisfaction improved after implementation of the programme. Lung function was not affected by implementation of the programme. For COPD patients, a significant improvement in health utility was found. For patients with asthma, significant cost savings were measured. CONCLUSIONS: Organizing health care according to principles of disease management for adults with asthma or COPD is associated with significant improvements in several processes and outcomes of care, while costs of care do not exceed the existing budget.
OBJECTIVE: To assess the impact of a population-based disease management programme for adult patients with asthma or chronic obstructive pulmonary disease (COPD) on process measures, intermediate outcomes, and endpoints of care. DESIGN: Quasi-experimental design with 12-month follow-up. SETTING: Region of Maastricht (the Netherlands) including university hospital and 16 general practices. PARTICIPANTS: Nine hundred and seventy-five patients of whom 658 have asthma and 317 COPD. INTERVENTION: Disease management programme. MAIN OUTCOME MEASURE(S): Endpoints of care are respiratory health, health utility, patient satisfaction, and total health care costs related to asthma or COPD. RESULTS: Quality aspects of care, disease control, self-care behaviour, smoking status, disease-specific knowledge, and patients' satisfaction improved after implementation of the programme. Lung function was not affected by implementation of the programme. For COPDpatients, a significant improvement in health utility was found. For patients with asthma, significant cost savings were measured. CONCLUSIONS: Organizing health care according to principles of disease management for adults with asthma or COPD is associated with significant improvements in several processes and outcomes of care, while costs of care do not exceed the existing budget.
Authors: Karin M M Lemmens; Anna P Nieboer; Maureen P M H Rutten-Van Mölken; Constant P van Schayck; Javier D Asin; Jos A M Dirven; Robbert Huijsman Journal: BMC Health Serv Res Date: 2010-03-26 Impact factor: 2.655
Authors: Karin M M Lemmens; Maureen P M H Rutten-Van Mölken; Jane M Cramm; Robbert Huijsman; Roland A Bal; Anna P Nieboer Journal: BMC Health Serv Res Date: 2011-01-10 Impact factor: 2.655
Authors: Christophe Sarran; David Halpin; Mark L Levy; Samantha Prigmore; Patrick Sachon Journal: NPJ Prim Care Respir Med Date: 2014-10-23 Impact factor: 2.871
Authors: Ignasi Bolíbar; Vicente Plaza; Mariantònia Llauger; Ester Amado; Pedro A Antón; Ana Espinosa; Leandra Domínguez; Mar Fraga; Montserrat Freixas; Josep A de la Fuente; Iskra Liguerre; Casimira Medrano; Meritxell Peiro; Mariantònia Pou; Joaquin Sanchis; Ingrid Solanes; Carles Valero; Pepi Valverde Journal: BMC Public Health Date: 2009-02-24 Impact factor: 3.295