http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Easy Asthma Management 프로그램을 이용한 천식 치료 약물 처방 형태의 변화
유광하 ( Kwang Ha Yoo ),정재원 ( Jae Won Jeong ),윤호주 ( Ho Joo Yoon ),조상헌 ( Sang Heon Cho ),장석일 ( Suk Il Chang ),문희범 ( Hee Bom Moon ),김유영 ( You Young Kim ),최병휘 ( Byoung Hwui Choi ) 대한천식알레르기학회 2007 천식 및 알레르기 Vol.27 No.4
Background: In order to induce primary care physicians (PCPs) to practice guideline-based treatment, various supplementary tools have been developed, but its effect on the change of actual prescription practice is still unsatis factory. Objective: This study was conducted to investigate and Easy Asthma Management (EAM) program helps PCPs to prescribe medications based on the guidelines. Method: Requested cases for health insurance review by physicians were analyzed. A Total of 542 cases were compared between the changes before and after the training, and they were also compared with 374 requested cases by the control group. Result: After the training, changes asthma medication prescription were observed as follows: in the trained physician group 24% reduction in beta2-agonists; 24% reduction in methylzanthines, and 16% increase in steroids, in case of steroids, 46% reduction in oral steroids only; 64% increase in inhaled steroids with beta2-agonists; in the control group, 4% increase in beta2-agonists, 3% increase in methylzanthines, and 3% reduction in steroids after the training. Conclusion: In this study, physicians who received EAM training program showed the changes of prescription according to guideline-based anti-inflammation prescription, compared with non-trained physicians. (Korean J Asthma Allergy Clin Immunol 2007;27:226-234)
일차 진료의의 천식 치료에 관한 인식 현황과 Easy Asthma Management 프로그램의 유용성 평가
유광하 ( Kwang Ha Yoo ),정재원 ( Jae Won Jeong ),윤호주 ( Ho Joo Yoon ),조상헌 ( Sang Heon Cho ),장석일 ( Suk Il Chang ),최병휘 ( Byoung Hwui Choi ),문희범 ( Hee Bom Moon ),김유영 ( You Young Kim ),김우경 ( U Gyeong Kim ),박용민 ( 대한천식알레르기학회 2006 천식 및 알레르기 Vol.26 No.4
Background: The guidelines for asthma treatment have been developed but few primary care physicians (PCPs) practice in accordance with these guidelines. Objective: This study surveyed the change of their understanding of asthma before and after using a novel computer software program named as Easy Asthma Management (EAM) program. Method: One hundred of total 363 physicians, who used EAM program for at least 3 months, responded to a self-reported instrument. Survey was conducted in August 2004 through October 2004, and in October 2004 through January 2005 before and after the use of EAM program. Result: The use of EAM program changed the understanding on the asthma treatment according to the survey282 result that 85% of participant PCPs agreed to follow the EAM guidelines more strictly. Especially, results showed that their attitudes were changed as follows: anti-inflammatory agent-based prescription from 38% to 49%; inhaler-based prescription from 43% to 55%; continuous treatment from 21% to 43%. Additional results showed that they diagnosed asthmatic patients more easily (from 40% to 49%). Conclusion: The use of EAM program changed the understanding and treatment on the asthma by PCPs, which resulted in increased prescriptions of inhaled anti-inflammatory agents and more objective evaluation of the changes in the conditions of asthmatic patients. (Korean J Asthma Allergy Clin Immunol 2006;26:282-288)