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Impact of the Asthma Quality Assessment Program on Burden of Asthma

Authors
 Hye Jung Park  ;  Sung-Ryeol Kim  ;  Sinae Kim  ;  Hye Sun Lee  ;  Bo Yeon Kim  ;  Hye Kyoung Kim  ;  Sang In Ahn  ;  Ji Hyeon Shin  ;  Jae-Hyun Lee  ;  Jung-Won Park 
Citation
 JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE, Vol.9(1) : 419-425.e6, 2021-01 
Journal Title
 JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE 
ISSN
 2213-2198 
Issue Date
2021-01
Keywords
Asthma ; Clinical outcomes ; Mortality ; Prognosis ; Quality assessment
Abstract
Background: In 2013, the Korean Health Insurance Review and Assessment Service launched the Asthma Quality Assessment Program (AQAP) to assess whether patients with asthma were well managed. Objective: To show the impact of the AQAP on the medical utilization behavior for asthma. Methods: We used claims data linked with the results of the AQAP performed between July 2013 and June 2017. Asthma was determined when subjects visited hospital for asthma. Subjects who used asthma medications on at least 2 different occasions were assessed by the AQAP (assessed subjects [Ass]; not-assessed subjects [NASs]). The AQAP evaluated conduction rate of the pulmonary function test, routine visit rate, and prescription rate of asthma medications. Primary clinics were classified as "good" and "not-good" clinics according to the results of the AQAP. Results: Of the 4.3 million subjects with asthma screened, about 0.8 million were assessed by the AQAP annually. Both the conduction rate of pulmonary function test and the prescription rate of inhaled corticosteroids in the ASs and NASs were improved. In addition, the risk of admission and yearly all-cause mortality were significantly reduced (risk reduction rate, 17.1 and 24.4%, respectively, both P < .001) in the AS group compared with the NAS group. However, effects of the AQAP varied according to the subgroup, and they were restricted to the assessment term. In addition, the admission rate and all-cause mortality were decreased by 94.7% and 45.3%, respectively, in "good" clinics as opposed to the "not-good" clinics. Conclusions: Performing the AQAP improved both the management protocol and prognosis of asthma in Korea.
Full Text
https://www.sciencedirect.com/science/article/pii/S2213219820308709
DOI
10.1016/j.jaip.2020.08.038
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers
Yonsei Authors
Kim, Sung Ryeol(김성렬) ORCID logo https://orcid.org/0000-0001-7418-0049
Kim, Si Nae(김시내)
Park, Jung Won(박중원) ORCID logo https://orcid.org/0000-0003-0249-8749
Park, Hye Jung(박혜정) ORCID logo https://orcid.org/0000-0002-1862-1003
Lee, Jae Hyun(이재현) ORCID logo https://orcid.org/0000-0002-0760-0071
Lee, Hye Sun(이혜선) ORCID logo https://orcid.org/0000-0001-6328-6948
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/182067
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