Asthma nurse practice improves outcomes and reduces costs in primary health care.
OBJECTIVE
The aim of this study was to elucidate the care of patients with asthma in primary health care from medical, patient self-management, health, quality of life, and health economic perspectives.


METHODS
Asthma nurse practice (ANP), an alternative asthma self-management strategy, was compared with traditional asthma care in primary health care in southern Sweden regarding medical history, lifestyle, self-management, symptoms caused by asthma, effects on sick leave, state of health, quality of life and health care costs. The first part of the investigation comprised a retrospective study of a randomly selected sample of patient records of asthmatics (n=152). The second part, lasting 3 months, was prospective and included consecutive patients visits (n=347).


RESULTS
The ANP approach showed better results in most of the evaluated outcomes such as asthma quality documentation and self-management and the number of asthma symptoms was significantly lower. From a health economic perspective the results were encouraging with respect to ANP.


CONCLUSIONS
This alternative asthma strategy, ANP, improved asthma care in primary health care and resulted in economic advantages in the health care sector. However the result may only be generalized to other practices working with asthma nurses in the same way.
Lindberg
Malou
M
Division of General Practice and Primary Care, Department of Medicine and Care, Faculty of Health Sciences, Linköping University, Linköping, Sweden. malou.lindberg@lio.se
Ahlner
Johan
J
Ekström
Tommy
T
Jonsson
Dick
D
Möller
Margareta
M
D000328:Adult; D001249:Asthma / Q000191:economics / Q000453:epidemiology / Q000451:nursing*; D005260:Female; D017048:Health Care Costs; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009722:Nurse Practitioners / Q000191:economics / Q000592:standards; D009732:Nursing Care / Q000592:standards*; D011320:Primary Health Care / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D011788:Quality of Life; D013548:Sweden / Q000453:epidemiology; D016896:Treatment Outcome