Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: Pennsylvania (cont’d)
Comprehensive Asthma Program
University of Pennsylvania
Maureen George, PhD, RN, AE-C
The Comprehensive Asthma Program was begun in 1991 at the Hospital of the University of Pennsylvania in Philadelphia, PA.
A randomized trial of the program was conducted to determine if patients who are admitted to the hospital with acute asthma and receive inpatient education would have improved outpatient follow-up and clinical outcome measures compared with those receiving conventional care. 77 urban, minority patients between the ages of 18-45 were enrolled in the study.
Patients randomized to the Inpatient Educational Program received asthma education, bedside spirometry, a telephone call 24 hours after discharge, and scheduled follow-up in an outpatient asthma program within 1 week of discharge. Social workers also worked with the patients as needed to remove obstacles to care. Patients in the routine care group received conventional inpatient asthma care and routine follow-up.
Evaluation results indicated that an inpatient educational program in the treatment of indigent, inner-city patients hospitalized with asthma reduces the need for subsequent emergency care and improves patient follow-up in a cost-effective manner. The Comprehensive Asthma Program is ongoing.
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