PT  - JOURNAL ARTICLE
AU  - Charleston Ribeiro Pinto
AU  - Laira Lorena Yamamura
AU  - Aramis Tupina Alcântara
AU  - Ilka Magalhães Carneiro
AU  - Graciele de Queiroz Andrade
AU  - Lindemberg Assunção Costa
AU  - Gisélia Souza
AU  - Antônio Carlos Lemos
TI  - Reduction in the use of health care resources in patients enrolled in a public program for management of COPD in Bahia, Northeastern Brazil
DP  - 2013 Sep 01
TA  - European Respiratory Journal
PG  - P2394
VI  - 42
IP  - Suppl 57
4099  - http://erj.ersjournals.com/content/42/Suppl_57/P2394.short
4100  - http://erj.ersjournals.com/content/42/Suppl_57/P2394.full
SO  - Eur Respir J2013 Sep 01; 42
AB  - Introduction: COPD is a global public health problem and results in social and substantial and growing economic impact. The Program Management of COPD of Bahia / Brazil (Respira Bahia Program) is an initiative of the State Secretary of Health based on multidisciplinary care and free access to medication, which aims to improve the clinical management and decision-making capacity of public health system for respiratory diseases.Objectives: To quantify the reduction in use of health care resources among patients followed in the outpatient Respira Bahia Program at the reference clinic in the Octavio Mangabeira Specialized Hospital in Salvador, Bahia.Methods: An observational, longitudinal and ambispective study. The indicators of the benefit for the study intervention were measured by comparing the absolute numbers of hospital admissions and emergency visits in the 12 months before and after their inclusion in the Program.Results: 90 patients were evaluated (64 male, aged from 66.5 ± 10.4 yrs) with disease status from moderate to very severe (FEV1 39.8 ± 13.8% predict). Significant reduction was observed in the number of number emergency room visits and hospitalization admissions (of 63% e 61%, respectively).View this table:Reduced use of health care resources in the Respira Bahia ProgramConclusions: The performance of Respira Bahia Program under the Public Health System was associated with marked reduction in the use of health resources for COPD.