哮喘患者的药物依从性与工作场所生产力及健康相关生活质量的关联
Association of medication adherence with workplace productivity and health-related quality of life in patients with asthma.
作者信息
Joshi Ashish V, Madhavan S Suresh, Ambegaonkar Ambarish, Smith Michael, Scott Virginia Ginger, Dedhia Harakh
机构信息
Novo Nordisk Inc, Princeton, NJ 08540, USA.
出版信息
J Asthma. 2006 Sep;43(7):521-6. doi: 10.1080/02770900600857010.
OBJECTIVE
Examine the association of medication adherence with workplace productivity and health-related quality of life (HRQL) in asthma patients.
METHODS
Adult patients with asthma in a state health insurance program identified from medical claims (July 2001-June 2003) were mailed a three-part survey to measure HRQL (St. George's Respiratory Questionnaire), workplace productivity (Workplace Productivity Short Inventory), and self-reported medication adherence (Morisky Scale).
RESULTS
The symptoms domain had the worst HRQL scores, followed by the activity and impacts domains; 39% of the participants reported themselves as "high" adherent, whereas 19% were "medium," and 42% were "low" adherent. Asthma resulted in productivity losses of 597 +/- 1,024 US dollars (absenteeism) and 658 +/- 1,808 US dollars (presenteeism) per enrollee per year.
CONCLUSIONS
Asthma was associated with HRQL detriments and workplace productivity losses.
目的
研究哮喘患者的药物依从性与工作场所生产力及健康相关生活质量（HRQL）之间的关联。
方法
从医疗理赔记录（2001年7月至2003年6月）中识别出参加州健康保险计划的成年哮喘患者，向其邮寄一份由三部分组成的调查问卷，以测量HRQL（圣乔治呼吸问卷）、工作场所生产力（工作场所生产力简短量表）和自我报告的药物依从性（莫利斯基量表）。
结果
症状领域的HRQL得分最差，其次是活动和影响领域；39%的参与者称自己为“高”依从性，19%为“中”依从性，42%为“低”依从性。哮喘导致每位参保人每年的生产力损失为597±1024美元（旷工）和658±1808美元（出勤但工作效率低）。
结论
哮喘与HRQL损害和工作场所生产力损失相关。
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