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Impact of a Migraine Management Program on Improving Health Outcomes

机译：偏头痛管理计划对改善健康状况的影响

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The goals of this program were to evaluate the effectiveness of migraine disease management techniques in improving patient satisfaction with migraine care, decreasing the frequency and severity of headaches and migraine-associated disability, increasing the effectiveness of migraine treatment and work productivity, improving physician diagnosis and treatment of migraine, and ultimately determining the program''s impact on healthcare resource utilization. A prospective observational study was undertaken. This prospective Migraine Management Program (MMP) used active patient and healthcare physician-based disease management resources, tools, and techniques. Members were identified using administrative and medical claims databases indicating an ICD-9 diagnosis code (346.XX) for migraine during the previous twelve months. All identified patients received the Migraine Therapy Assessment Questionnaire (MTAQ)™ to assess their level of migraine control for pre/post measurement. Of the 2,134 patients responding to the initial MTAQ, 789 completed both a baseline and follow-up and 1,345 completed only a baseline questionnaire. For those patients completing both, there was a statistically significant reduction in all identified management issues: poor symptom control, high attack frequency, knowledge/behavior barriers, economic burden, and dissatisfaction with treatment. Comparing the former group to those completing only the baseline MTAQ, the latter were significantly more likely to report problems with three migraine management issues; poorer symptom control, greater economic burden, and dissatisfaction with their treatment. The use of appropriate patient and physician educational interventions, such as Aetna''s MMP incorporating disease management principles and the MTAQ questionnaire, can have a significant impact on patient-centered outcomes and satisfaction with their migraine treatment.
机译：该计划的目标是评估偏头痛疾病管理技术在提高患者对偏头痛护理的满意度，减少头痛和偏头痛相关残障的频率和严重性，增加偏头痛治疗和工作效率的有效性，改善医师诊断和治疗方面的有效性。治疗偏头痛，并最终确定该计划对医疗资源利用的影响。进行了一项前瞻性观察研究。此前瞻性偏头痛管理计划（MMP）使用了基于患者和医疗保健医生的活跃疾病管理资源，工具和技术。使用行政和医疗理赔数据库对成员进行了识别，该数据库指示了过去12个月中偏头痛的ICD-9诊断代码（346.XX）。所有确定的患者均接受了偏头痛治疗评估问卷（MTAQ）™，以评估其偏头痛控制水平，以进行前/后测量。在对最初的MTAQ做出反应的2134位患者中，有789位完成了基线和随访，仅1345位完成了基线问卷。对于完成了这两项检查的患者，所有已确定的管理问题在统计学上都有显着减少：症状控制差，发作频率高，知识/行为障碍，经济负担以及对治疗的不满意。将前一组与仅完成基线MTAQ的组进行比较，后者则更有可能报告三个偏头痛管理问题的问题；较差的症状控制，更大的经济负担以及对其治疗的不满。使用适当的患者和医师教育干预措施，例如结合了疾病管理原则的Aetna MMP和MTAQ调查表，可能会对以患者为中心的结果和偏头痛治疗的满意度产生重大影响。

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