Abstract
While pharmacotherapy is important in the management of asthma and chronic obstructive pulmonary disease, it is also important to consider additional interventions that can further reduce the burden of ill health for patients, their families and the health care system. In this review, the evidence in favour of self-management support that leads to successful self-care by the patient is reviewed, and the key components of successful strategies are outlined; areas where more research is needed are identified. In addition to self-management support, other methods of delivering care, such as telemonitoring, admission avoidance, assisted discharge schemes and use of lay educators, are reviewed.
MeSH terms
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Asthma / diagnosis
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Asthma / economics
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Asthma / psychology
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Asthma / therapy*
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Cost of Illness
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Cost-Benefit Analysis
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Delivery of Health Care / economics
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Delivery of Health Care / organization & administration*
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Health Care Costs
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Health Knowledge, Attitudes, Practice
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Humans
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Patient Acceptance of Health Care
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Patient Care Planning / economics
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Patient Care Planning / organization & administration*
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Patients / psychology*
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Pulmonary Disease, Chronic Obstructive / diagnosis
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Pulmonary Disease, Chronic Obstructive / economics
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Pulmonary Disease, Chronic Obstructive / psychology
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Pulmonary Disease, Chronic Obstructive / therapy*
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Self Care / economics
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Self Care / methods*
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Treatment Outcome