PMID- 26392981
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20150922
LR  - 20240323
IS  - 2220-8372 (Print)
IS  - 2220-8372 (Electronic)
IS  - 2220-8372 (Linking)
VI  - 2
IP  - 4
DP  - 2012 Dec 21
TI  - Implementation of GINA guidelines in Ho Chi Minh City: a model for Viet Nam.
PG  - 181-5
LID - 10.5588/pha.12.0035 [doi]
AB  - SETTING: The Global Initiative for Asthma (GINA) guidelines have not been 
      implemented effectively in primary care settings in Viet Nam. OBJECTIVES: To 
      estimate the proportion of patients with controlled asthma and the direct health 
      care costs of managing asthma according to GINA guidelines at four out-patient 
      clinics in Ho Chi Minh City (HCMC), Viet Nam. METHODS: One hundred and six 
      patients with asthma were treated and followed up according to GINA guidelines 
      for 12 months. Clinical and pulmonary function responses and direct health care 
      costs were evaluated every 3 months during the study. RESULTS: The proportion of 
      patients with controlled asthma rose from 1.0% at the start of the study to 36.8% 
      by the end of the study (P < 0.0001). The proportion of patients who had at least 
      one hospitalisation per year decreased significantly, from 32.1% to 5.7% (P < 
      0.0001). The annual per patient median direct health care cost was US$169. Using 
      asthma controllers continuously gave better asthma control than using them 
      intermittently (OR 12.9, 95%CI 4.7-35.7). CONCLUSIONS: The implementation of GINA 
      guidelines at out-patient clinics in HCMC, Viet Nam, improved asthma control with 
      modest direct health care costs.
FAU - Tho, N V
AU  - Tho NV
AD  - Department of Tuberculosis and Lung Diseases, University of Medicine and Pharmacy 
      at Ho Chi Minh City, Ho Chi Minh City, Viet Nam ; Respiratory Care Centre, 
      University Medical Centre at Ho Chi Minh City, Ho Chi Minh City, Viet Nam.
FAU - Loan, H T H
AU  - Loan HT
AD  - Health Care Centre of Phu Nhuan District, Ho Chi Minh City, Viet Nam.
FAU - Thao, N T P
AU  - Thao NT
AD  - Health Care Centre of Hoc Mon District, Ho Chi Minh City, Viet Nam.
FAU - Dung, N T T
AU  - Dung NT
AD  - Regional General Hospital of Thu Duc District, Ho Chi Minh City, Viet Nam.
FAU - Lan, L T T
AU  - Lan LT
AD  - Respiratory Care Centre, University Medical Centre at Ho Chi Minh City, Ho Chi 
      Minh City, Viet Nam ; Department of Physiology, University of Medicine and 
      Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Viet Nam.
LA  - eng
PT  - Journal Article
DEP - 20121115
PL  - France
TA  - Public Health Action
JT  - Public health action
JID - 101624961
PMC - PMC4463066
OTO - NOTNLM
OT  - asthma
OT  - cost-effectiveness
OT  - management
OT  - out-patient
EDAT- 2012/12/21 00:00
MHDA- 2012/12/21 00:01
PMCR- 2012/12/21
CRDT- 2015/09/23 06:00
PHST- 2012/07/09 00:00 [received]
PHST- 2012/09/19 00:00 [accepted]
PHST- 2015/09/23 06:00 [entrez]
PHST- 2012/12/21 00:00 [pubmed]
PHST- 2012/12/21 00:01 [medline]
PHST- 2012/12/21 00:00 [pmc-release]
AID - 10.5588/pha.12.0035 [doi]
PST - ppublish
SO  - Public Health Action. 2012 Dec 21;2(4):181-5. doi: 10.5588/pha.12.0035. Epub 2012 
      Nov 15.