Implementation of GINA guidelines in Ho Chi Minh City: a model for Viet Nam
OBJECTIVES: To estimate the proportion of patients with controlled asthma and the direct health care costs of managing asthma according to GINA guidelines at four out-patient clinics in Ho Chi Minh City (HCMC), Viet Nam.
METHODS: One hundred and six patients with asthma were treated and followed up according to GINA guidelines for 12 months. Clinical and pulmonary function responses and direct health care costs were evaluated every 3 months during the study.
RESULTS: The proportion of patients with controlled asthma rose from 1.0% at the start of the study to 36.8% by the end of the study (P < 0.0001). The proportion of patients who had at least one hospitalisation per year decreased significantly, from 32.1% to 5.7% (P < 0.0001). The annual per patient median direct health care cost was US$169. Using asthma controllers continuously gave better asthma control than using them intermittently (OR 12.9, 95%CI 4.7–35.7).
CONCLUSIONS: The implementation of GINA guidelines at out-patient clinics in HCMC, Viet Nam, improved asthma control with modest direct health care costs.
Document Type: Research Article
Affiliations: 1: Department of Tuberculosis and Lung Diseases, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Viet Nam; and Respiratory Care Centre, University Medical Centre at Ho Chi Minh City, Ho Chi Minh City, Viet Nam 2: Health Care Centre of Phu Nhuan District, Ho Chi Minh City, Viet Nam 3: Health Care Centre of Hoc Mon District, Ho Chi Minh City, Viet Nam 4: Regional General Hospital of Thu Duc District, Ho Chi Minh City, Viet Nam 5: Respiratory Care Centre, University Medical Centre at Ho Chi Minh City, Ho Chi Minh City, Viet Nam; and Department of Physiology, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Viet Nam
Publication date: 21 December 2012
Public Health Action (PHA), The Union's quarterly open access on-line journal, provides a platform for its mission 'Health solutions for the poor'. PHA addresses the need for show-casing operational research that addresses issues in health systems and services. It publishes high-quality scientific research that provides new knowledge to improve access, equity, quality and efficiency of health systems and services.
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