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Single home visit significantly improves adherence, reduces exacerbations in patients with severe asthma and COPD

LOS ANGELES– A single home visit to patients with severe asthma or COPD may significantly improve patient adherence with office visits and inhaler use and may reduce severe exacerbations requiring emergency department visits.

As part of the Integrated Disease Management Program of UCSF Fresno Center for Medical Education and Research, a single home visit was provided to 60 patients who were noncompliant to office visits as well as patients with uncontrolled symptoms. After a single home visit there was a significant increase in compliance with office visits in the year following, increasing from 68 to 133 visits. Similarly, ED visits decreased by 40 percent and patient adherence to maintenance inhaler use increased from 22 percent to 65 percent. However, the intervention did not appear to reduce the number of hospital admissions.

“Ensuring the health of patients who do not show up for their office visits can be difficult,” says Dr. Vipul Jain, medical director for the chronic lung disease program at UCSF-Fresno. “Making a single home visit to noncompliant patients not only increases their adherence but also decreases their visits to the emergency department, suggesting improved control of the disease.” 

Read "A Single Home Visit Improves Patient Adherence and Reduces Exacerbations in Patients With Severe Asthma and COPD."

CHEST 2016 is the 82nd annual meeting for the American College of Chest Physicians, held October 22-26, 2016, in Los Angeles, California. The American College of Chest Physicians, publisher of the journal CHEST, is the global leader in advancing best patient outcomes through innovative chest medicine education, clinical research and team-based care. Its mission is to champion the prevention, diagnosis and treatment of chest diseases through education, communication and research. It serves as an essential connection to clinical knowledge and resources for its 19,000 members from around the world who provide patient care in pulmonary, critical care and sleep medicine.

For more information about CHEST annual meeting, visit chestmeeting.chestnet.org.