Cost-effectiveness analysis of a state funded programme for control of severe asthma

Franco, Rosana; Santos, Andréia Costa; Nascimento, Harrison Floriano do; Souza-Machado, Carolina; Ponte, Eduardo Vieira; Souza‐Machado, Adelmir; Loureiro, Sebastião; Barreto, Maurício L.; Rodrigues, Laura C.; Cruz, Álvaro A.

doi:10.1186/1471-2458-7-82

Cited by 60 publications

(69 citation statements)

References 22 publications

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“…After being enrolled in the programme -an annual surplus of US$ 1500 per family became available (33,34). This result confirms that action based on providing access to medication, education and health care works among the low-income populations as well.…”

supporting

confidence: 69%

Reduction of asthma burden is possible through National Asthma Plans

Kupczyk

Haahtela

Cruz

et al. 2010

Allergy

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To cite this article: Kupczyk M, Haahtela T, Cruz AA, Kuna P. Reduction of asthma burden is possible through National Asthma. Allergy 2010; 65: 415–419.AbstractDespite increase in understanding of asthma patomechanisms the practical actions to lessen asthma burden in the communities are far behind of scientific knowledge. There are still reports of uderdiagnosis and poor treatment leading to repeated severe exacerbations, often demanding emergency care and hospitalisation, which cause most of the economic burden both for families and society. From the public health perspective, the key issue is to implement the best standards of care in every‐day practice. The problems are different in high income compared to low‐ and middle‐income countries, and the solutions have to be tailored to each country needs and resources. We present here examples from Finland, Poland and Brazil, to show that asthma burden can be reduced using varied strategies in quite different societal, economical and health care environments. The experience from those interventions confirms that regardless of the health care system and its coverage, a major change for the better can be achieved by local efforts, systematic planning and networking to implement the best asthma practice.

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supporting

confidence: 69%

Reduction of asthma burden is possible through National Asthma Plans

Kupczyk

Haahtela

Cruz

et al. 2010

Allergy

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“…It is worth noting that it is hard to distinguish poverty from other environmental variables or lifestyles that go with it and may be involved in asthma, such as pollution, smoking, respiratory infections, low weight, and prematurity [11][12][13] . An ecological analysis including 20 Brazilian centers presented a direct association between asthma prevalence and inappropriate sanitation conditions, child mortality, inequity index (GINI), and mortality of all causes 14 . Some studies, not only in Brazil but also in other Latin American countries, Europe, Asia, and Africa, found higher asthma (self-reported or symptoms) prevalence in the urban area when compared with the rural area [15][16][17][18][19][20][21] .…”

Section: Discussionmentioning

confidence: 99%

Prevalência de diagnóstico médico de asma em adultos brasileiros: Pesquisa Nacional de Saúde, 2013

Menezes

Wehrmeister

Szwarcwald

et al. 2015

Rev. bras. epidemiol.

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ABSTRACT:Objective: To estimate the prevalence of asthma medical diagnosis among the adult Brazilian population (aged ≥ 18 years). Methods: This is a cross-sectional, population-based study from the 2013 National Health Survey (NHS); it is a sampling cluster process with three stages of selection: census tracts, households, and individuals. The prevalence and 95% confidence interval for the outcome "asthma medical diagnosis" reported by the interviewed subjects were calculated, besides its distribution according to demographic and socioeconomic variables, macroregions, and urban or rural area of the country. Management of the disease was also evaluated among those who reported asthma medical diagnosis and the analyses were weighted. Results: A total of 60,202 adults were interviewed. The prevalence of asthma medical diagnosis was 4.4% (95%CI 4.1 -4.7), and it was higher among the female subjects, the white skin-colored subjects, those with higher educational level, and those who lived in the south of Brazil. Among those who reported asthma medical diagnosis, a high percentage of asthma attacks were seen in the last 12 months, with around 80% using medication and about 15% referring severe limitation to their daily activities. Conclusions: Although it seems there is asthma diagnosis stability in the country when compared with other researches, we still need public policies for improving the disease management.

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“…The manuscript provides evidence that severe asthma leads to catastrophic expenditures to poor families, which were still not enough to give assess to proper treatment control the disease. Moreover, it demonstrates the major benefits achievable by treatment based on current guidelines, even in lowresource settings, in a strategy previously shown to be cost-effective and resulting in incremental savings as compared with managing exacerbations in emergency rooms and hospitals (15).…”

Section: The Unbearable Cost Of Severe Asthma In Underprivileged Popumentioning

confidence: 99%