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Asthma Health Outcomes Project

Overviews of Surveyed Asthma ProgramsSeptember 2005

International Programs: SwitzerlandBack to Index

Self-Management Education Interdisciplinary Program

Centre Valaisan de Pneumologie (CVP)

3963 Crans-Montana Switzerland

Jean-Marie Tschopp

412 760 38 185      

jean-marie.tschopp@admin.vs.ch

www.vs.ch/cvpneumo

Asthma has generated very high costs for Switzerland. Self-management education (SME) is effective and recommended as an integral part of management in the most recent guidelines on asthma treatment. Its aim is to reduce morbidity and improve quality of life in these patients.

Education was provided to 66 patients by a multidisciplinary health care team in Montana, Switzerland. The patient took a diary to each medical visit and the provider recorded in the diary the education provided and the individualized objectives discussed during the visit. Data was collected three, six, nine and 12 months post the initial visit.

After 12 months hospitalizations fell from 35 to 8%*, emergency department visits 88 to 53%*. and lost work days 39 to 14%* (*p <0.001). Overall, SME resulted in a health care cost savings.  Quality of life improved as well.

SME is effective and brings a steep fall in costs for asthma treatment by cutting back hospitalizations and lost workdays and by improving quality of life for those with asthma. It should be recognized and better supported by the health system.

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