Source: International Congress 2014 – Management of asthma and other respiratory diseases in primary care
Disease area: Airway diseases

Abstract

Aims and objectivesThe REALISE™ survey was a large European survey across 11 countries assessing patient attitudes and behaviours towards their asthma. Healthcare utilisation and absenteeism were examined across a subset of countries: UK, France, Germany, Italy, Spain, and the Netherlands (all with patient sample size >850), in relation to predefined attitudinal clusters. The aim was to determine if differences in attitudes affected resource and productivity.MethodsData were collected online from 5,913 asthma patients. Previously reported analyses identified 4 patient clusters (CL); CL1: good control, confident and adherent; CL2: highest control, confident, but relatively non-adherent; CL3: poor control, low confidence and embarrassed about inhaler, but desire to improve control and seeking information; CL4: lowest control, lowest confidence in self-management, desire to improve control.The cluster analysis was used to estimate the utilisation of healthcare resources per patient per year, in relation to CL1.ResultsPatients in CL3 & CL4 had higher odds of utilising resource than those in CL1 & CL2. The annual mean number of HCP visits per patient was lowest in CL2 (1.62 visits), increasing to 2.54 in CL1, 4.15 in CL4, and 4.24 in CL3.

Overview of resource use and productivity compared to CL1

	Cluster (odds ratio)
	CL1	CL2	CL3	CL4
Hospitalisation	1	0.47	11.41	4.14
Accident & Emergency room	1	0.45	5.16	2.58
Absenteeism	1	0.58	8.11	2.70

ConclusionThe differing resource use by cluster may suggest that patients included in each of the clusters, with different control levels and attitudes towards asthma, require different management strategies.Funded by Mundipharma International Ltd.

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Citations should be made in the following way:
D. Price, A. Jha, W. Dunlop, L. Heron, T. Van der Molen, M. Fletcher (Aberdeen, Cambridge, Bollington, Warwick, United Kingdom; Groningen, Netherlands). Burden of asthma on resource and productivity in distinct patient clusters. Eur Respir J 2014; 44: Suppl. 58, 3020

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