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Baseline Assessment of an Inner City Population Enrolled in an Asthma Disease Management Programme

Data for Continuous Programme Improvement

  • Practical Disease Management
  • Published:
Disease Management and Health Outcomes

Abstract

Disease management, a new treatment model that may improve outcomes for patients with chronic illness, emphasises the need for formal assessments often not included in traditional approaches to healthcare, such as environmental exposures, self-care skills and functional status. This article discusses the importance of these measures in designing a disease management programme for asthma and presents the results of a study of patients referred to this programme.

The objectives of the programme were to determine: (i) baseline functional status; (ii) any barriers to treatment; (iii) home exposure to patient-reported asthma triggers; and (iv) patients’ self-care skills. The proportion of referred patients who actually enrolled in the programme and, among those patients, the proportion who completed the prescribed educational component and attended the scheduled follow-up visits were also calculated. The investigators developed a structured assessment battery that included standardised measures of functioning; this battery was administered by clinical and research staff at enrolment and at 3- and 6-month follow-up.

The patients (n = 228) had significantly lower functioning compared with the Medical Outcomes Study general US population norms and for patients with chronic lung disease. 71% (n = 127) of patients endorsed 1 or more of the 3 items on a depression screen. 85.5% of patients completed the 3 educational sessions; 104 of 228 patients (45.6%) returned for the 6-month follow-up visit.

This study contributes data about the design of disease management programmes and about asthma in inner city and minority patients, which are important topics in current research.

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Authors and Affiliations

  1. Institute for Outcomes Research and Evaluation, Hartford Hospital, 80 Seymour Street, Hartford, Connecticut, 06102-5037, USA

    Rose Maljanian RN, MBA (Director) & Laura R. Triano

  2. Burlingame Center for Psychiatric Research and Education, Institute of Living, Hartford, Connecticut, USA

    John W. Goethe

  3. Department of Medicine, Hartford Hospital, Hartford, Connecticut, USA

    Scott A. Wolf

  4. Outpatient Department, Hartford Hospital, Hartford, Connecticut, USA

    Patricia Hernandez

Authors
  1. Rose Maljanian RN, MBA
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  2. John W. Goethe
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  3. Scott A. Wolf
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  4. Laura R. Triano
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  5. Patricia Hernandez
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Corresponding author

Correspondence to Rose Maljanian RN, MBA.

Additional information

About the Authors: Rose Maljanian, RN, MBA is the Director of the Institute for Outcomes Research and Evaluation at Hartford Hospital, Hartford, Connecticut, USA. She has held a variety of clinical, quality and management appointments in both acute and long term care. Her current area of research focus is high volume, high risk patient populations served by an acute care based Integrated Delivery System. John Goethe, MD is the Medical Consultant for Outcomes Research and the Director of the Burlingame Center for Psychiatric Research and Education at the Institute of Living in Hartford, Connecticut. Dr Goethe is active in both clinical trial and outcomes research. He has published many articles in the mental health literature.

Scott Wolf, DO is the Medical Director of the Asthma Control and Education Program and the Director of Clinical Operations for Ambulatory Medicine at Hartford Hospital, Connecticut. Dr Wolf’s primary area of interest is disease management and public health with a current focus on the inner city asthma population.

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Maljanian, R., Goethe, J.W., Wolf, S.A. et al. Baseline Assessment of an Inner City Population Enrolled in an Asthma Disease Management Programme. Dis-Manage-Health-Outcomes 5, 135–143 (1999). https://doi.org/10.2165/00115677-199905030-00002

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  • DOI: https://doi.org/10.2165/00115677-199905030-00002

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