title: Self-management support and other alternatives to reduce the burden of asthma and chronic obstructive pulmonary disease.
abstract: While pharmacotherapy is important in the management of asthma and chronic obstructive pulmonary disease, it is also important to consider additional interventions that can further reduce the burden of ill health for patients, their families and the health care system. In this review, the evidence in favour of self-management support that leads to successful self-care by the patient is reviewed, and the key components of successful strategies are outlined; areas where more research is needed are identified. In addition to self-management support, other methods of delivering care, such as telemonitoring, admission avoidance, assisted discharge schemes and use of lay educators, are reviewed.
authors.affiliation: Woolcock Institute of Medical Research, University of Sydney, Sydney, Australia.
authors.forename: H K
authors.initials: HK
authors.lastname: Reddel
authors.affiliation: The George Institute, Sydney, New South Wales, Australia.
authors.forename: C R
authors.initials: CR
authors.lastname: Jenkins
authors.affiliation: Imperial College, London, UK.
authors.forename: M R
authors.initials: MR
authors.lastname: Partridge
mesh_terms: D001249:Asthma / Q000175:diagnosis / Q000191:economics / Q000523:psychology / Q000628:therapy*; D017281:Cost of Illness; D003362:Cost-Benefit Analysis; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration*; D017048:Health Care Costs; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D010342:Patient Acceptance of Health Care; D010347:Patient Care Planning / Q000191:economics / Q000458:organization & administration*; D010361:Patients / Q000523:psychology*; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis / Q000191:economics / Q000523:psychology / Q000628:therapy*; D012648:Self Care / Q000191:economics / Q000379:methods*; D016896:Treatment Outcome