The impact of a program for control of asthma in a low-income setting

Detalhes bibliográficos
Autor(a) principal: Cruz Filho, Álvaro Augusto Souza da
Data de Publicação: 2010
Outros Autores: Machado, Adelmir de Souza, Franco, Rosana, Machado, Carolina Souza, Ponte, Eduardo Vieira, Santos, Pablo de Moura, Barreto, Mauricio Lima
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://www.repositorio.ufba.br/ri/handle/ri/12806
Resumo: p.167-174
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spelling Cruz Filho, Álvaro Augusto Souza daMachado, Adelmir de SouzaFranco, RosanaMachado, Carolina SouzaPonte, Eduardo VieiraSantos, Pablo de MouraBarreto, Mauricio LimaCruz Filho, Álvaro Augusto Souza daMachado, Adelmir de SouzaFranco, RosanaMachado, Carolina SouzaPonte, Eduardo VieiraSantos, Pablo de MouraBarreto, Mauricio Lima2013-09-03T12:07:02Z20101939-4551http://www.repositorio.ufba.br/ri/handle/ri/12806v. 3, n. 4p.167-174The prevalence of asthma is increasing in developing countries and the burden of uncontrolled asthma affects patients, families, and the health system. This is to summarize, evaluate, and discuss previous reports on the impact of a targeted and comprehensive approach to the most severe cases of asthma in a low-income setting. A Program for Control of Asthma (ProAR) was developed in Salvador, Bahia, Brazil, prioritizing the control of severe asthma. By facilitating referrals from the public health system and providing proper multidisciplinary but simple management including education and medication, for free, the Program enrolled 2385 patients in 4 reference clinics. They are offered regular follow up and discharged back to primary health care only when asthma control can be maintained without requirement of a combination of an inhaled corticosteroid and a long-acting β2 agonist. ProAR has markedly reduced health resource utilization and decreased the rate of hospital admissions because of asthma in the entire City (2.8 million inhabitants) by 74%. Moderate to severe rhinitis was associated with lack of control of asthma. The average income of the families in the ProAR was US$2955 a year, and they spent 29% of all their income attempting to control the severe asthma of one member, a unbearable expenditure for a low-income family. The ProAR was shown to be cost-effective, reducing costs to the public health system (US$387 patient/year) and the families (US$789 patient/year). In a low-income setting of Brazil, an intervention prioritizing the control of severe asthma was feasible, effective, and reduced costs.Submitted by Suelen Reis (suziy.ellen@gmail.com) on 2013-09-02T15:35:41Z No. of bitstreams: 1 1939-4551-3-4-167.pdf: 455922 bytes, checksum: a02ae55273330074c8b3d5dcc990c7f4 (MD5)Approved for entry into archive by Flávia Ferreira(flaviaccf@yahoo.com.br) on 2013-09-03T12:07:02Z (GMT) No. of bitstreams: 1 1939-4551-3-4-167.pdf: 455922 bytes, checksum: a02ae55273330074c8b3d5dcc990c7f4 (MD5)Made available in DSpace on 2013-09-03T12:07:02Z (GMT). No. of bitstreams: 1 1939-4551-3-4-167.pdf: 455922 bytes, checksum: a02ae55273330074c8b3d5dcc990c7f4 (MD5) Previous issue date: 2010http://dx.doi.org/10.1097/WOX.0b013e3181dc3383reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAAsthmaControlTreatmentPreventionHospitalizationThe impact of a program for control of asthma in a low-income settingWorld Allergy Organization Journalinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01enginfo:eu-repo/semantics/openAccessORIGINAL1939-4551-3-4-167.pdf1939-4551-3-4-167.pdfapplication/pdf455922https://repositorio.ufba.br/bitstream/ri/12806/1/1939-4551-3-4-167.pdfa02ae55273330074c8b3d5dcc990c7f4MD51LICENSElicense.txtlicense.txttext/plain1762https://repositorio.ufba.br/bitstream/ri/12806/2/license.txt1b89a9a0548218172d7c829f87a0eab9MD52TEXT1939-4551-3-4-167.pdf.txt1939-4551-3-4-167.pdf.txtExtracted texttext/plain45134https://repositorio.ufba.br/bitstream/ri/12806/3/1939-4551-3-4-167.pdf.txt062e9eab3ba26b4c05191020892ebcd3MD53ri/128062022-07-05 14:02:49.336oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:02:49Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv The impact of a program for control of asthma in a low-income setting
dc.title.alternative.pt_BR.fl_str_mv World Allergy Organization Journal
title The impact of a program for control of asthma in a low-income setting
spellingShingle The impact of a program for control of asthma in a low-income setting
Cruz Filho, Álvaro Augusto Souza da
Asthma
Control
Treatment
Prevention
Hospitalization
title_short The impact of a program for control of asthma in a low-income setting
title_full The impact of a program for control of asthma in a low-income setting
title_fullStr The impact of a program for control of asthma in a low-income setting
title_full_unstemmed The impact of a program for control of asthma in a low-income setting
title_sort The impact of a program for control of asthma in a low-income setting
author Cruz Filho, Álvaro Augusto Souza da
author_facet Cruz Filho, Álvaro Augusto Souza da
Machado, Adelmir de Souza
Franco, Rosana
Machado, Carolina Souza
Ponte, Eduardo Vieira
Santos, Pablo de Moura
Barreto, Mauricio Lima
author_role author
author2 Machado, Adelmir de Souza
Franco, Rosana
Machado, Carolina Souza
Ponte, Eduardo Vieira
Santos, Pablo de Moura
Barreto, Mauricio Lima
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Cruz Filho, Álvaro Augusto Souza da
Machado, Adelmir de Souza
Franco, Rosana
Machado, Carolina Souza
Ponte, Eduardo Vieira
Santos, Pablo de Moura
Barreto, Mauricio Lima
Cruz Filho, Álvaro Augusto Souza da
Machado, Adelmir de Souza
Franco, Rosana
Machado, Carolina Souza
Ponte, Eduardo Vieira
Santos, Pablo de Moura
Barreto, Mauricio Lima
dc.subject.por.fl_str_mv Asthma
Control
Treatment
Prevention
Hospitalization
topic Asthma
Control
Treatment
Prevention
Hospitalization
description p.167-174
publishDate 2010
dc.date.issued.fl_str_mv 2010
dc.date.accessioned.fl_str_mv 2013-09-03T12:07:02Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://www.repositorio.ufba.br/ri/handle/ri/12806
dc.identifier.issn.none.fl_str_mv 1939-4551
dc.identifier.number.pt_BR.fl_str_mv v. 3, n. 4
identifier_str_mv 1939-4551
v. 3, n. 4
url http://www.repositorio.ufba.br/ri/handle/ri/12806
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.pt_BR.fl_str_mv http://dx.doi.org/10.1097/WOX.0b013e3181dc3383
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFBA
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