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NIHR Signal Asthma self-management programmes can reduce unscheduled care
People with asthma who receive supported self-management are less likely to attend A&E or be admitted to hospital. The interventions are unlikely to increase overall costs for healthcare services. Those who self-manage are also likely to have more controlled asthma and a better quality of life. This extensive overview of systematic reviews included evidence from 270 randomised controlled trials exploring the effects of asthma self-management on healthcare utilisation and costs. Self-managem...
NIHR Signal An end of life strategy probably improved choice of where to die for people with severe respiratory disease
Most people prefer not to die in hospital, but the majority of patients with long-term diseases other than cancer end up dying there. In England, an NIHR study based on routine collected national data showed that roll-out of the End of Life Care strategy in 2004 was linked to a reduction in deaths in hospital. The number of deaths here fell by 6% for people with chronic obstructive pulmonary disease (COPD), and 3% for people with interstitial lung diseases. However, hospital deaths did not fall ...
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