Pragmatic 'real world' study of the effect of audit of asthma on clinical outcome

R.G. Neville; G. Hoskins; C. Mccowan; B. Smith

doi:10.1016/j.pcrj.2004.06.007

Pragmatic 'real world' study of the effect of audit of asthma on clinical outcome

R.G. Neville, G. Hoskins, C. Mccowan, B. Smith

School of Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

AIMS: To test whether participation in clinical audit is associated with improved care of a long-term health condition. METHODS: Real world study comparing 1339 patients of all ages and severity of asthma managed by 77 self-selected highly motivated general practices in Scotland with 9617 patients from 319 practices from a national sample. RESULTS: Patients managed by audit practices had more structured clinical reviews by nurses [817 (61 versus 4301 (45 OR 0.52, 95% CI 0.46?0.58] and less acute GP contacts [440 (33 v 4161 (43 OR 1.56, CI 1.38?1.56]. Consequently they experienced more checking of inhaler technique, use of peak flow meters and self- management plans. Audit patients had more symptom free days [365 (42 v 2216 (23 OR 0.80, CI 0.70.0.91], and fewer asthma attacks [217 (16 v 1938 (20 OR 1.30, CI 1.12.1.53]. They made less use of hospital services including A38;E [30 (2 v 326 (3 OR 1.53, CI 1.03,2.28] and outpatients [42 (3 v 459 (5 OR 1.55, CI 1.11.2.16]. CONCLUSIONS: Patients with asthma benefit from being managed by a practice involved in a programme of audit.

Original language	Undefined/Unknown
Pages (from-to)	198-204
Number of pages	7
Journal	Primary Care Respiratory Journal
Volume	13
Issue number	4
DOIs	https://doi.org/10.1016/j.pcrj.2004.06.007
Publication status	Published - 1 Dec 2004

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10.1016/j.pcrj.2004.06.007

http://eprints.gla.ac.uk/74287/

Cite this

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title = "Pragmatic 'real world' study of the effect of audit of asthma on clinical outcome",

abstract = "AIMS: To test whether participation in clinical audit is associated with improved care of a long-term health condition. METHODS: Real world study comparing 1339 patients of all ages and severity of asthma managed by 77 self-selected highly motivated general practices in Scotland with 9617 patients from 319 practices from a national sample. RESULTS: Patients managed by audit practices had more structured clinical reviews by nurses [817 (61 versus 4301 (45 OR 0.52, 95% CI 0.46?0.58] and less acute GP contacts [440 (33 v 4161 (43 OR 1.56, CI 1.38?1.56]. Consequently they experienced more checking of inhaler technique, use of peak flow meters and self- management plans. Audit patients had more symptom free days [365 (42 v 2216 (23 OR 0.80, CI 0.70.0.91], and fewer asthma attacks [217 (16 v 1938 (20 OR 1.30, CI 1.12.1.53]. They made less use of hospital services including A38;E [30 (2 v 326 (3 OR 1.53, CI 1.03,2.28] and outpatients [42 (3 v 459 (5 OR 1.55, CI 1.11.2.16]. CONCLUSIONS: Patients with asthma benefit from being managed by a practice involved in a programme of audit.",

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T1 - Pragmatic 'real world' study of the effect of audit of asthma on clinical outcome

AU - Neville, R.G.

AU - Hoskins, G.

AU - Mccowan, C.

AU - Smith, B.

PY - 2004/12/1

Y1 - 2004/12/1

N2 - AIMS: To test whether participation in clinical audit is associated with improved care of a long-term health condition. METHODS: Real world study comparing 1339 patients of all ages and severity of asthma managed by 77 self-selected highly motivated general practices in Scotland with 9617 patients from 319 practices from a national sample. RESULTS: Patients managed by audit practices had more structured clinical reviews by nurses [817 (61 versus 4301 (45 OR 0.52, 95% CI 0.46?0.58] and less acute GP contacts [440 (33 v 4161 (43 OR 1.56, CI 1.38?1.56]. Consequently they experienced more checking of inhaler technique, use of peak flow meters and self- management plans. Audit patients had more symptom free days [365 (42 v 2216 (23 OR 0.80, CI 0.70.0.91], and fewer asthma attacks [217 (16 v 1938 (20 OR 1.30, CI 1.12.1.53]. They made less use of hospital services including A38;E [30 (2 v 326 (3 OR 1.53, CI 1.03,2.28] and outpatients [42 (3 v 459 (5 OR 1.55, CI 1.11.2.16]. CONCLUSIONS: Patients with asthma benefit from being managed by a practice involved in a programme of audit.

AB - AIMS: To test whether participation in clinical audit is associated with improved care of a long-term health condition. METHODS: Real world study comparing 1339 patients of all ages and severity of asthma managed by 77 self-selected highly motivated general practices in Scotland with 9617 patients from 319 practices from a national sample. RESULTS: Patients managed by audit practices had more structured clinical reviews by nurses [817 (61 versus 4301 (45 OR 0.52, 95% CI 0.46?0.58] and less acute GP contacts [440 (33 v 4161 (43 OR 1.56, CI 1.38?1.56]. Consequently they experienced more checking of inhaler technique, use of peak flow meters and self- management plans. Audit patients had more symptom free days [365 (42 v 2216 (23 OR 0.80, CI 0.70.0.91], and fewer asthma attacks [217 (16 v 1938 (20 OR 1.30, CI 1.12.1.53]. They made less use of hospital services including A38;E [30 (2 v 326 (3 OR 1.53, CI 1.03,2.28] and outpatients [42 (3 v 459 (5 OR 1.55, CI 1.11.2.16]. CONCLUSIONS: Patients with asthma benefit from being managed by a practice involved in a programme of audit.

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