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Allergy and Airway: Asthma |

A Single Home Visit Improves Patient Adherence and Reduces Exacerbations in Patients With Severe Asthma and COPD

D Richard Allison, NP; Karl Van Gundy; Jose Vempilly; Vipul Jain, MD
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UCSF Fresno, Fresno, CA


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):15A. doi:10.1016/j.chest.2016.08.018
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SESSION TITLE: Asthma

SESSION TYPE: Original Investigation Slide

PRESENTED ON: Monday, October 24, 2016 at 01:30 PM - 02:30 PM

PURPOSE: To evaluate the impact of a single Home Visit (HV) on patient adherence and emergency room (ER) visits in frequent exacerbators of Severe Asthma and COPD

METHODS: We used a retrospective cohort study design in patients with Severe Asthma and COPD with frequent exacerbations (2 or more ER visits or hospitalizations in the year prior to enrollment) enrolled in an Integrated Disease Management (IDM) Program. A single HV was performed for patients with established noncompliance to office visits (defined as 3 or more “no-show” to office visits), as well as compliant patients with uncontrolled symptomatology to address triggers in home environment. Healthcare utilization and patient adherence (compliance with inhalers and office visits) was assessed in the year prior to and after the HV.

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