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Randomized Controlled Trial
. 2005 Dec;55(521):918-23.

Targeted routine asthma care in general practice using telephone triage

Kevin Gruffydd-Jones  1 , Sandra Hollinghurst, Sabbi Ward, Gordon Taylor
Affiliations
Randomized Controlled Trial

Targeted routine asthma care in general practice using telephone triage

Kevin Gruffydd-Jones et al. Br J Gen Pract. 2005 Dec.

Abstract

Background: There is a high non-attendance rate for traditional clinic-based routine asthma care in general practice. Alternative methods of providing routine asthma care need to be examined.

Aim: To examine the cost and effectiveness of targeted routine asthma care in general practice using telephone triage, compared to usual clinic care.

Design of study: An open randomised controlled trial.

Setting: A single semi-rural practice in the southwest of England.

Method: Adult patients with asthma were randomised to receive either their routine asthma care in the surgery or care by telephone triage. Asthma control parameters, health status and NHS resource utilisation were measured over the 12-month study period.

Results: One hundred and ninety-four patients were randomised and 35% per cent more patients (n = 84 versus n = 62) received more than one consultation in the telephone group. Asthma control as measured by the asthma control questionnaire (ACQ) was similar in the clinic and telephone groups: mean change in ACQ = -0.11 (95% CI = -0.32 to 0.11) versus -0.18 (95% CI = -0.38 to 0.02). Mean NHS costs were 210 pounds sterling per patient per year in the telephone group compared to 334 pounds sterling in the clinic group (P-value of bootstrapped difference = 0.071).

Conclusion: Targeted routine asthma care by telephone triage of adult asthmatics can lead to more asthma patients being reviewed, at less cost per patient and without loss of asthma control compared to usual routine care in the surgery.

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Figures

Figure 1
Figure 1
Patient flow through study.
See this image and copyright information in PMC

References

    1. Charlton I, Charlton G, Broomfield J, Mullee M. Audit on the effect of a nurse-run asthma clinic on workload and patient morbidity in a general practice. Br J Gen Pract. 1991;41:227–231. - PMC - PubMed
    1. Lindberg M, Ahlner J. Asthma nurse practice — a resource effective approach to asthma management. Respir Med. 1999;93:584–588. - PubMed
    1. Hoskins G, Neville RG, Smith B, Clark RA. The link between nurse training and asthma outcomes. Br J Comm Nursing. 1999;4:222–228.
    1. SIGN and others. British Guideline on the Management of Asthma. Thorax. 2003;58(Supplement 1)
    1. Gruffydd-Jones K, Nicholson I, Best L, Connell E. Why don't patients attend the asthma clinic? Asthma in General Practice. 1999;7(3):36–39.

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