E.TAN1, N. MAGANLAL1, J.R.RAMASAMY1, C.L.LEE1
Empanelled asthma patients have better clinical outcomes compared to non-empanelled patients. We hypothesized that poorly controlled asthmatics would benefit more from active empanelment into a new Teamlet compared to NTBC.
Quarterly data of OI [Dispensed Preventer: Reliever (P:R)ratio;% patients with Asthma Control Test (ACT) score ≥20; % patients requiring nebulization] from NHGP Information and Analysis Department was used to tracked asthma care in a newly formed teamlet and NTBC from Q4/2018 to Q2/2021.
Previously un-empaneled patients were actively recruited into the new Teamlet if they had: recent exacerbations, spirometry readings suggesting poor control, frequent follow-up default, and requirement for nebulization ≥2 times in past 6 months.
The OI of the first and last 4 quarters from Q4/2018 to Q2/2021 was compared within the new teamlet and the rate of improvement of outcome indicators with time were compared between Teamlet and NTBC using t-statistics.
There is significant improvement across all OI comparing first and last 4 quaters in the new Teamlet.
The rate of improvements was greater for the Teamlet compared to NTBC for P:R ratio t(18)=2.49, p= 0.023, and ACT score t(18)=5.92, p < 0.001, but no significant difference was noted for nebulization rate.
There is significant improvement in all OI and faster improvement in 2 out of 3 OI for this new Teamlet then in NTBC.
Dedicated, consistent Teamlet care coordination builds better rapport with patients and empower them to achieve better outcome faster.
More efforts should be taken soon to empanel all asthma patient to team base care.