The efficacy of Asthma and Chronic Obstructive Pulmonary Disease Clinic In Jomthong Hospital, Chiang Mai Province

Abstract

Asthma and chronic obstructive pulmonary disease (COPD) are important and treatment problem. It causes poor life quality and increases cost of treatment. The objective is to explore the efficacy of asthma & COPD Clinic in Jomthong Hospital. The study was retrospectively reviewed, included 197asthma and 381 COPD patients receiving continuous treatment compared within the same group before (year 2010) and after (year 2011) . Variables of interest were obtained from the medical record including inpatient and outpatient records. Statistical analysis was performed by using Chi-square test. Result: The patients whom multidisciplinary health care providers take care showed that physicians increasingly used inhaled corticosteroid (ICS) especially for asthmatic patients, from 51.00 % to 84.00 % (p < 0.0001). The emergency admission rate has reduced from 0.73 visit/person/year in 2010 to 0.43 visit/person/year in 2011 (p < 0.0001) in asthmatic patients and reduced from 0.71 visit/person/year in 2010 to 0.32 visit/person/year in 2011 (p < 0.0001) in COPD patients. The hospitalization rate has reduced from 0.08 visit/person/year in 2010 to 0.05 visit/person/year in 2011 (p = 0.0130) in COPD patients. Total disease control has increased from 9.03 % in 2010 to 26.95 % in 2011 (p < 0.0001) in asthmatic patients and the poor disease control has decreased from 100.00 % in 2010 to 88.21 % in 2011 (p = 0.0134) in COPD patients. In conclusion, the efficacy of Asthma &COPD Clinic could improve the treatment, the disease control and reduce cost of treatment. The totally patient’s satisfy level in treatment is high.