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KMID : 0854720070270040226
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Korean Journal of Asthma, Allergy and Clinical Immunology
2007 Volume.27 No. 4 p.226 ~ p.234
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Changes of Asthma Treatment Prescription Using the Easy Asthma Management Program
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Yoo Kwang-Ha
Jeong Jae-Won
Yoon Ho-Joo
Cho Sang-Heon
Chang Suk-Il
Moon Hee-Bom
Kim You-Young
Choi Byoung-Hwui
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Abstract
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Background: In order to induce primary care physicians (PCPs) to practice guideline-based treatment, various supplementary tools have been developed, but its effect on the change of actual prescription practice is still unsatis factory. OBJECTIVE: This study was conducted to investigate and Easy Asthma Management (EAM) program helps PCPs to prescribe medications based on the guidelines.
Methods: Requested cases for health insurance review by physicians were analyzed. A Total of 542 cases were compared between the changes before and after the training, and they were also compared with 374 requested cases by the control group.
Results: After the training, changes asthma medication pre- scription were observed as follows: in the trained physician group 24% reduction in beta2-agonists; 24% reduction in methylzanthines, and 16% increase in steroids, in case of steroids, 46% reduction in oral steroids only; 64% increase in inhaled steroids with beta2-agonists; in the control group, 4% increase in beta2-agonists, 3% increase in methylzanthines, and 3% reduction in steroids after the training.
Conclusion: In this study, physicians who received EAM training program showed the changes of prescription according to guideline-based anti-inflammation prescription, compared with non-trained physicians.
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KEYWORD
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Asthma, Easy asthma management program, Prescription, Primary care physician
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