Modern innovative solutions to improve outcomes in severe asthma : Protocol for a mixed methods observational comparison of clinical outcomes in mission versus current care delivery
Roberts, Claire, Lanning, Eleanor, Fogg, Carole, Bassett, Paul, Hughes, Alison and Chauhan, Anoop. (2019). Modern innovative solutions to improve outcomes in severe asthma : Protocol for a mixed methods observational comparison of clinical outcomes in mission versus current care delivery. JMIR Research Protocols. 8(10), pp. 1-11. https://doi.org/10.2196/resprot.9585
|Authors||Roberts, Claire, Lanning, Eleanor, Fogg, Carole, Bassett, Paul, Hughes, Alison and Chauhan, Anoop|
Background: Asthma that is poorly controlled and undertreated can progress to more severe disease that is associated with high levels of unscheduled care that requires high-cost therapy, leading to a significant health economic burden. The identification and appropriate referral to a specialist asthma service is also often delayed by several months or years because of poor recognition and understanding of symptom severity. Current severe asthma services may take several months to provide a comprehensive multidisciplinary assessment, often necessitating multiple hospital visits and costing up to £5000 per patient.
Objective: This study aims to evaluate whether a new service model could identify poorly controlled and potentially severe asthma much earlier in the patient pathway, and then compare clinical outcomes between this new care model with standard care.
Methods: Modern Innovative Solutions to Improve Outcomes in (MISSION) Severe Asthma is a novel service model developed by asthma specialists from Portsmouth and Southampton severe asthma services. MISSION Severe Asthma identified patients with poorly controlled disease from general practice databases who had not been under secondary outpatient care in the last 12 months or who were not known to secondary care. In 1- or 2-stop assessments, a thorough review of diagnosis, disease phenotype, and control is undertaken, and clinical outcomes collected at baseline.
Results: A variety of clinical outcomes will be collected to assess the service model. The results will be reported in February 2020.
Conclusions: This protocol outlines a mixed methods study to assess the impact on disease control, unscheduled health care usage, and quality of life in patients seen in the MISSION clinic compared with a closely matched cohort who declined to attend.
|Keywords||asthma; diagnosis; community health services; drug therapy; epidemiology; asthma treatment|
|Year||01 Jan 2019|
|Journal||JMIR Research Protocols|
|Journal citation||8 (10), pp. 1-11|
|Publisher||JMIR Publications Inc.|
|Digital Object Identifier (DOI)||https://doi.org/10.2196/resprot.9585|
|PubMed Central ID||6913683|
|Web address (URL)||https://www.researchprotocols.org/2019/10/e9585|
|Research or scholarly||Research|
File Access Level
|10 Oct 2019|
|Publication process dates|
|Accepted||30 Oct 2018|
|Deposited||07 Sep 2023|
© Claire Roberts, Eleanor Lanning, Carole Fogg, Paul Bassett, Alison Hughes, Anoop J Chauhan. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 10.10.2019.
International Registered Report Identifier (IRRID):
Roberts C, Lanning E, Fogg C, Bassett P, Hughes A, Chauhan AJ
This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on http://www.researchprotocols.org, as well as this copyright and license information must be included.
|Place of publication||Canada|
2views this month
2downloads this month