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An Evaluation of an Adult Asthma BTS Collaborative and the Effect of Patient Self-Management
Annals of Family Medicine (2005)
  • M Schonlau
  • R Mangione-Smith
  • M Rosen
  • K Chan
  • T A. Louis
  • S Wu, Rand Corporation
  • EB Keeler
Abstract

Purpose: To examine whether a collaborative to improve asthma care influences process and outcomes of care in adult asthmatics.

Method: Pre- and Post-intervention evaluation of 185 patients in 6 intervention clinics and 3 matched control sites that participated in the evaluation of the Institute for Healthcare Improvement Breakthrough Series (BTS) Collaborative for asthma care. The intervention consisted of three two-day educational sessions for teams dispatched by participating sites followed by three “action” periods over the course of a year.

Results: Overall process of asthma care improved significantly in the intervention compared to the control group (change of 10% versus 1%, p=0.003). Patients in the intervention group were more likely to attend educational sessions (20% versus 5%, p=0.03). Having a written action plan, goal setting, peak flow monitoring and use of long-term controller medications increased between 2% and 19% (not significant) and asthma-related knowledge was unchanged for the two groups. Patients in the BTS collaborative were significantly more likely to be satisfied with provider communication (62% vs. 39%, p=0.02). HRQoL, asthma specific quality of life, number of bed days due to asthma related illness and acute service use were not significantly different between the two groups.

Conclusions: The intervention was associated with improved process of care measures that have been linked with better outcomes. Patients benefited through increased satisfaction with communication. Follow-up of patients who participated in the intervention may have been too brief to detect significant improvement in health-related outcomes.

Keywords
  • Asthma Care Evaluation,
  • Breakthrough Series Collaborative,
  • Chronic Care Model,
  • Process of Care,
  • Outcomes of Care
Disciplines
Publication Date
2005
Citation Information
M Schonlau, R Mangione-Smith, M Rosen, K Chan, et al.. "An Evaluation of an Adult Asthma BTS Collaborative and the Effect of Patient Self-Management" Annals of Family Medicine (2005)
Available at: http://works.bepress.com/shinyi_wu/2/