Asthma as a hidden disease in rural China: opportunities and challenges of standard case management

X H Kan, Chen-Yuan Chiang, Donald A. Enarson, H L Rao, Q. Chen, N. Aït-Khaled, G. W. Chen

研究成果: 雜誌貢獻文章

摘要

Objective:

To assess the implementation of standard case management of asthma in Huaiyuan County, Anhui Province, China, in 2008.

Design:

The study project began with the local adaptation of international asthma guidelines, followed by a situation analysis, pre-intervention study, training and intervention. Inhaled beclomethasone (US$15 for a 200-puff [250 µg/puff] inhaler) was prescribed for patients with persistent asthma. Treatment outcome was assessed at 1 year after enrolment.

Results:

Asthma was never diagnosed in the participating facilities before the project was introduced. Of the 95 patients diagnosed with persistent asthma, 72 (75.8%) were prescribed inhaled beclomethasone, and 23 (24.2%) were not, because they either refused to use inhaled beclomethasone or did not return after the initial visit. At 1 year evaluation, of the 72 patients with persistent asthma treated with inhaled corticosteroids, 12 (16.7%) improved, 7 (9.7%) remained stable, none were worse, 1 (1.4%) had died, and 52 (72.2%) were lost to follow-up. Of the 52 patients lost to follow-up, 25 (48%) were found to be alive but had stopped using inhaled beclomethasone.

Conclusion:

Asthma is more frequently disabling and costly than had been recognised earlier. Asthma patients can be provided the care that they require, but affordable access to inhaled corticosteroids remains a challenge.
原文英語
頁(從 - 到)87-91
頁數5
期刊Public Health Action
2
發行號3
DOIs
出版狀態已發佈 - 九月 21 2012

指紋 深入研究「Asthma as a hidden disease in rural China: opportunities and challenges of standard case management」主題。共同形成了獨特的指紋。

  • 引用此