Asthma as a hidden disease in rural China: opportunities and challenges of standard case management

X H Kan, Chen-Yuan Chiang, Donald A. Enarson, H L Rao, Q. Chen, N. Aït-Khaled, G. W. Chen

研究成果: 雜誌貢獻文章同行評審



To assess the implementation of standard case management of asthma in Huaiyuan County, Anhui Province, China, in 2008.


The study project began with the local adaptation of international asthma guidelines, followed by a situation analysis, pre-intervention study, training and intervention. Inhaled beclomethasone (US$15 for a 200-puff [250 µg/puff] inhaler) was prescribed for patients with persistent asthma. Treatment outcome was assessed at 1 year after enrolment.


Asthma was never diagnosed in the participating facilities before the project was introduced. Of the 95 patients diagnosed with persistent asthma, 72 (75.8%) were prescribed inhaled beclomethasone, and 23 (24.2%) were not, because they either refused to use inhaled beclomethasone or did not return after the initial visit. At 1 year evaluation, of the 72 patients with persistent asthma treated with inhaled corticosteroids, 12 (16.7%) improved, 7 (9.7%) remained stable, none were worse, 1 (1.4%) had died, and 52 (72.2%) were lost to follow-up. Of the 52 patients lost to follow-up, 25 (48%) were found to be alive but had stopped using inhaled beclomethasone.


Asthma is more frequently disabling and costly than had been recognised earlier. Asthma patients can be provided the care that they require, but affordable access to inhaled corticosteroids remains a challenge.
頁(從 - 到)87-91
期刊Public Health Action
出版狀態已發佈 - 9月 21 2012


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