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Asthma Management Programs in Managed Care Organizations

机译：管理式护理组织中的哮喘管理计划

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摘要

The aim of this work was to investigate how managed care organizations (MCOs) currently approach asthma treatment and management and to determine factors affecting asthma outcomes. A Web-based survey was administered to a national sample of 351 medical directors of MCOs to investigate the asthma management program components in their organizations as well as gaps and barriers in the management of patients with asthma. All 134 (38.2%) responding medical directors reported that their organizations monitor asthma patients. Plans use a variety of asthma management activities, including general member education (90%), member education by mail (87%), self-management education (85%), and provider education (82%). Educational resources (89%) and telephone advice nurse (77%) were the most common self-management strategies offered. Among factors impeding the provision of effective asthma care, noncompliance with asthma treatment, the inappropriate use of medications, and the need for multiple medications were cited by virtually all respondents. Health plans rely on an array of strategies to manage asthma patients. Education encouraging patient self-management is a key component of asthma management programs. However, a considerable number of treatment approach barriers are impeding the achievement of proper asthma care. Without innovative approaches to care, it appears that current MCOs' asthma management efforts may not result in substantial improvements in asthma outcomes.
机译：这项工作的目的是调查管理型护理组织（MCO）当前如何进行哮喘的治疗和管理，并确定影响哮喘预后的因素。对351名MCO医务总监的全国样本进行了基于Web的调查，以调查其组织中哮喘管理计划的组成部分以及哮喘患者管理中的差距和障碍。所有134位（38.2％）响应的医疗主管均报告说，他们的组织监视哮喘患者。计划使用各种哮喘管理活动，包括普通会员教育（90％），邮寄会员教育（87％），自我管理教育（85％）和提供者教育（82％）。教育资源（89％）和电话咨询护士（77％）是提供的最常见的自我管理策略。几乎所有受访者都提到了阻碍有效哮喘治疗，不遵守哮喘治疗，药物使用不当以及需要多种药物的因素。卫生计划依靠一系列策略来管理哮喘患者。鼓励患者自我管理的教育是哮喘管理计划的重要组成部分。然而，相当多的治疗方法障碍阻碍了适当哮喘治疗的实现。如果没有创新的护理方法，当前的MCO的哮喘管理工作似乎可能不会导致哮喘预后的实质性改善。

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