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Adult asthma disease management: an analysis of studies, approaches, outcomes, and methods.

Publication ,  Journal Article
Maciejewski, ML; Chen, S-Y; Au, DH
Published in: Respir Care
July 2009

BACKGROUND: Disease management has been implemented for patients with asthma in various ways. We describe the approaches to and components of adult asthma disease-management interventions, examine the outcomes evaluated, and assess the quality of published studies. METHODS: We searched the MEDLINE, EMBASE, CINAHL, PsychInfo, and Cochrane databases for studies published in 1986 through 2008, on adult asthma management. With the studies that met our inclusion criteria, we examined the clinical, process, medication, economic, and patient-reported outcomes reported, and the study designs, provider collaboration during the studies, and statistical methods. RESULTS: Twenty-nine articles describing 27 studies satisfied our inclusion criteria. There was great variation in the content, extent of collaboration between physician and non-physician providers responsible for intervention delivery, and outcomes examined across the 27 studies. Because of limitations in the design of 22 of the 27 studies, the differences in outcomes assessed, and the lack of rigorous statistical adjustment, we could not draw definitive conclusions about the effectiveness or cost-effectiveness of the asthma disease-management programs or which approach was most effective. CONCLUSIONS: Few well-designed studies with rigorous evaluations have been conducted to evaluate disease-management interventions for adults with asthma. Current evidence is insufficient to recommend any particular intervention.

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Published In

Respir Care

DOI

ISSN

0020-1324

Publication Date

July 2009

Volume

54

Issue

7

Start / End Page

878 / 886

Location

United States

Related Subject Headings

  • Respiratory System
  • Research Design
  • Quality of Health Care
  • Humans
  • Disease Management
  • Cost-Benefit Analysis
  • Chronic Disease
  • Asthma
  • Adult
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Maciejewski, M. L., Chen, S.-Y., & Au, D. H. (2009). Adult asthma disease management: an analysis of studies, approaches, outcomes, and methods. Respir Care, 54(7), 878–886. https://doi.org/10.4187/002013209793800385
Maciejewski, Matthew L., Shih-Yin Chen, and David H. Au. “Adult asthma disease management: an analysis of studies, approaches, outcomes, and methods.Respir Care 54, no. 7 (July 2009): 878–86. https://doi.org/10.4187/002013209793800385.
Maciejewski ML, Chen S-Y, Au DH. Adult asthma disease management: an analysis of studies, approaches, outcomes, and methods. Respir Care. 2009 Jul;54(7):878–86.
Maciejewski, Matthew L., et al. “Adult asthma disease management: an analysis of studies, approaches, outcomes, and methods.Respir Care, vol. 54, no. 7, July 2009, pp. 878–86. Pubmed, doi:10.4187/002013209793800385.
Maciejewski ML, Chen S-Y, Au DH. Adult asthma disease management: an analysis of studies, approaches, outcomes, and methods. Respir Care. 2009 Jul;54(7):878–886.

Published In

Respir Care

DOI

ISSN

0020-1324

Publication Date

July 2009

Volume

54

Issue

7

Start / End Page

878 / 886

Location

United States

Related Subject Headings

  • Respiratory System
  • Research Design
  • Quality of Health Care
  • Humans
  • Disease Management
  • Cost-Benefit Analysis
  • Chronic Disease
  • Asthma
  • Adult
  • 3202 Clinical sciences