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9780824719425

Asthma's Impact on Society Vol. 138 : The Social and Economic Burden

by ;
  • ISBN13:

    9780824719425

  • ISBN10:

    0824719425

  • Format: Hardcover
  • Copyright: 10/27/1999
  • Publisher: CRC Press
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List Price: $119.95

Summary

One of the first comprehensive studies of the social and economic consequences of this chronic pulmonary illness, Asthma's Impact on Society assesses how communities, families, and individuals confront asthma and try to minimize its deleterious effects. Written by over 25 highly esteemed experts, Asthma's Impact on Society defines the consequences of asthma in a community context, such as allocation of resources determines how insights gained from the social sciences can improve clinical care of asthmatics reviews outcomes, aside from physiological measures, that should be included in assessment of the condition and its treatments calculates the economic burden asthma may contribute to individuals, the health care system, and society in general presents new methods of measuring the impact of asthma on adult and pediatric patients examines the financial burden on business due to absenteeism, hospitalization, and health insurance coverage explains the basic principles of pharmacoeconomics as applied to asthma and more! Representing a multidisciplinary synthesis of the latest research in the field, Asthma's Impact on Society is an indispensable reference for pulmonologists, clinical immunologists and allergists, chest physicians, internists, pediatricians, health policy analysts, health economists, public health officials, pharmacoeconomists, and upper-level undergraduate, graduate, and medical school students in these disciplines.

Table of Contents

Introduction iii
Claude Lenfant
Preface v
Contributors vii
Part One SOCIAL IMPACT OF ASTHMA
Introduction to Part One: The Social Impact of Asthma
3(6)
Kevin B. Weiss
A. Sonia Buist
Quality of Life, Health Status, and the Social Impact of Asthma: An Overview
9(14)
Paul W. Jones
Introduction
9(1)
Concepts and Definitions
9(4)
Pathways
13(3)
Issues of Measurement
16(4)
Summary and Conclusions
20(3)
References
21(2)
Characterizing the Social Impact of Asthma in Children
23(32)
Neal Halfon
Paul W. Newacheck
Introduction
23(1)
Unique Characteristics of Children with Asthma
24(2)
The Ecological/Transactional Approach to Understanding Asthma's Social Impacts
26(7)
Social Basis of Childhood Asthma and Relevance for Assessing Social Impact
33(1)
Impact on Children's Functioning
34(5)
The Impact of Asthma on Social, Leisure, and Peer Relationships and Family Life
39(1)
Impact on Emotional and Psychological Functioning
40(2)
Long-Term Impacts
42(1)
Summing Up the Impact
43(12)
References
47(8)
Characterizing the Occupational Impact of Asthma
55(22)
Paul D. Blanc
Introduction
55(1)
Asthma Prevalence Among Those of Working Age
56(1)
Asthma-Related Work Limitations
57(2)
Costs of Asthma-Related Work Limitations
59(1)
Asthma and the Working Environment
60(2)
Work in the Home
62(1)
Defining Work Disability in Asthma
63(1)
Handicap and Quality of Life
64(1)
Identifying Predictors of Work Disability in Asthma
65(2)
Work-Related Asthma
67(3)
Conclusions
70(7)
References
71(6)
Measuring Health-Related Quality of Life for Persons with Asthma: An Overview
77(22)
Elizabeth F. Juniper
Introduction
77(1)
Health-Related Quality of Life (HRQL)
77(2)
The Importance of HRQL in Asthma
79(1)
HRQL Impairments in Asthma
80(1)
Selecting a HRQL Instrument
81(6)
Interpreting Quality-of-Life Data
87(2)
Cultural Adaptation of HRQL Questionnaires
89(2)
Modification of Questionnaires
91(1)
Methods of Questionnaire Administration
91(2)
Software
93(1)
HRQL in Research
93(1)
HRQL in Clinical Practice
93(1)
Conclusion
94(5)
References
94(5)
Current Methods in Measuring Health-Related Quality of Life in Children with Asthma
99(28)
Lynn M. Olson
Linda Asmussen
Introduction
99(1)
Challenges in Developing Measures for Children
100(2)
Criteria for Measures Selected
102(1)
Issues Reviewed
103(4)
Overview of Instruments
107(14)
Discussion
121(6)
References
123(4)
Current Methods for Measuring Health-Related Quality of Life in Adults with Asthma
127(54)
Guy B. Marks
Introduction
127(3)
Descriptions of the Questionnaires
130(34)
Summary and Conclusions
164(17)
References
174(7)
Psychosocial Factors in Chronic Asthma
181(38)
Cynthia S. Rand
Arlene Manns Butz
Introduction
181(2)
Social/Familial Factors and Asthma
183(4)
Psychological Factors and Asthma
187(11)
Behavioral Factors and Asthma
198(5)
Understanding Asthma Management Within a Social-Environmental Framework
203(3)
Summary and Conclusions
206(13)
References
207(12)
The Impact of Sociodemographic Factors on Asthma
219(28)
Lauren A. Smith
Jonathan A. Finkelstein
Introduction
219(2)
Defining Social and Economic Factors in the Context of Asthma
221(1)
Epidemiological Evidence for the Impact of Social and Economic Factors on Asthma
222(9)
A Model for Understanding the Impact of Social Risk on Asthma Burden: Definitions and Proposed Relationships
231(3)
Methodological Issues and Limitations of the Literature
234(2)
Implications for Research and Intervention
236(11)
References
238(9)
Part Two ECONOMIC IMPACT OF ASTHMA
Introduction to Part Two: The Economic Impact of Asthma
247(4)
Sean D. Sullivan
Kevin B. Weiss
Measuring the Economic Burden in Asthma
251(18)
Bengt Jonsson
Introduction
251(1)
The Cost-of-Illness Method
252(1)
Cost of Asthma Studies
253(6)
Measurement of Indirect Costs
259(4)
The Cost of Unpaid Inputs
263(1)
Concluding Remarks
264(5)
References
265(4)
Economic Evaluation of Asthma Treatments
269(22)
Scott D. Ramsey
Sean D. Sullivan
Introduction
269(1)
Principles of Cost-Effectiveness Analysis and Pharmacoeconomics
270(1)
Methods of Cost-Effectiveness Analysis
271(3)
Pharmacoeconomic Studies of Asthma Pharmacotherapy
274(1)
Inhaled Corticosteroids
274(6)
Long-Acting ß2-Agonists
280(1)
Inhaled Cromolyn Sodium
281(1)
Other Pharmacotherapy
281(1)
Economic Studies of Asthma Patient Education and Consultation Programs
282(1)
``Best Practices'' for Economic Evaluation of Therapeutic Agents for Asthma
282(4)
Linking Cost-Effectiveness Analysis with the Development of Clinical Practice Guidelines
286(1)
Conclusion
286(5)
References
287(4)
Cost and Outcome Implications for Prevention
291(22)
Anne Elixhauser
Nancy Kline Leidy
Michael T. Halpern
Introduction
291(1)
Prevention of Asthma
292(5)
Economic Evaluations of Primary Prevention
297(10)
Conclusion
307(6)
References
308(5)
Development of a Pharmacoeconomic Policy Model for Asthma
313(18)
Barry Kitch
A. David Paltiel
Karen M. Kuntz
Peter J. Neumann
Scott T. Weiss
Introduction
313(1)
Need for Cost-Effectiveness Analysis
314(1)
Need for a Disease Model
314(2)
Methodological Issues
316(1)
General Framework
317(1)
State Transitions
318(3)
Further Methodological Issues
321(7)
Summary and Conclusions
328(3)
References
329(2)
Health State Preference Estimation in Asthma
331(20)
Maureen P. M. H. Rutten-van Molken
The Rationale Behind Valuation
331(1)
Describing Health States
332(3)
Valuing Health States
335(6)
Integrating Preferences and Life Years
341(1)
Experience in Asthma
342(3)
Suggestions for Future Approaches
345(6)
References
347(4)
Author Index 351(28)
Subject Index 379

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