Systematic practice-based asthma care in the Australian setting

澳大利亚基于实践的系统性哮喘护理

• 批准号: nhmrc : 299024
• 负责人: E/Pr Richard Ruffin
• 金额: $ 37.58万
• 依托单位国家: 澳大利亚
• 项目类别: NHMRC Project Grants
• 财政年份: 2004
• 资助国家: 澳大利亚
• 起止时间: 2004-01-01 至 2005-12-31
• 项目状态: 已结题
• 来源: https://researchdata.edu.au/systematic-practice-based-australian-setting/83016
• 关键词: Systematic; practice; based; asthma; care

Asthma is an illness which increasingly is affecting the health and quality of life of millions of Australians. Much effort has been focused in recent years on ways of improving the management of those people who suffer from moderate and severe asthma. A recent government initiative has been to promote the use of the 3+ Visit Plan, which encourages a more proactive, systematic approach to assessing and treating asthma in general practice. There is currently no evidence about exactly how practices can best be organized to provide this systematic care, in a way which improves the process of care and the health outcomes for patients. This study aims to evaluate the effectiveness of changing aspects of practice organization and structure, such as setting up registers of asthma patients, providing recalls or reminders to patients to come in for regular review, having the GPs provide education and self-management skills to patients, focusing on the contributions which practice staff can make to the process, and initiating quality assurance measures such as audit and feedback to the GPs about their quality of care. We anticipate that these changes will provide positive benefits for the patients, but will also investigate what it costs the practices, patients and government to bring these changes about, within the perspective of efficiency and cost-effectiveness. The evidence generated by this study will provide an excellent base for providing advice to policy makers, as well as contributing to the development of best-practice models of care for asthma patients in general practice.

哮喘是一种日益影响数百万澳大利亚人健康和生活质量的疾病。近年来，许多努力都集中在如何改善中、重度哮喘患者的管理上。政府最近的一项倡议是推广使用3+访问计划，该计划鼓励在全科医生中采用更积极、更系统的方法来评估和治疗哮喘。目前还没有证据表明，如何才能最好地组织实践，以改善护理过程和患者的健康结果，从而提供这种系统的护理。这项研究旨在评估改变执业组织和结构方面的有效性，如建立哮喘患者登记册、向患者提供召回或提醒患者定期审查、让全科医生向患者提供教育和自我管理技能、重点关注执业人员对过程的贡献，以及启动质量保证措施，如审计和向全科医生反馈他们的护理质量。我们预计这些变化将为患者带来积极的好处，但也将从效率和成本效益的角度调查实践、患者和政府带来这些变化的成本。这项研究产生的证据将为向政策制定者提供建议提供良好的基础，并有助于开发全科治疗哮喘患者的最佳实践模式。