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National and regional asthma programmes in Europe

Olof Selroos, Maciej Kupczyk, Piotr Kuna, Piotr Łacwik, Jean Bousquet, David Brennan, Susanna Palkonen, Javier Contreras, Mark FitzGerald, Gunilla Hedlin, Sebastian L. Johnston, Renaud Louis, Leanne Metcalf, Samantha Walker, Antonio Moreno-Galdó, Nikolaos G. Papadopoulos, José Rosado-Pinto, Pippa Powell, Tari Haahtela
European Respiratory Review 2015 24: 474-483; DOI: 10.1183/16000617.00008114
Olof Selroos
1Selroos Medical Consulting (Semeco AB), Ängelholm, Sweden
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  • For correspondence: olof.selroos@telia.com
Maciej Kupczyk
2Dept of Internal Medicine, Asthma and Allergy, Barlicki University Hospital, Medical University of Lodz, Lodz, Poland
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Piotr Kuna
2Dept of Internal Medicine, Asthma and Allergy, Barlicki University Hospital, Medical University of Lodz, Lodz, Poland
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Piotr Łacwik
2Dept of Internal Medicine, Asthma and Allergy, Barlicki University Hospital, Medical University of Lodz, Lodz, Poland
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Jean Bousquet
3National Institute for Health and Medical Research (INSERM), Paris, France
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David Brennan
4European Federation of Asthma and Airways Diseases Patients' Association (EFA), Brussels, Belgium
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Susanna Palkonen
4European Federation of Asthma and Airways Diseases Patients' Association (EFA), Brussels, Belgium
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Javier Contreras
5National Federation of Respiratory Disease Associations (FENAER), Malaga, Spain
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Mark FitzGerald
6Institute for Heart and Lung Health, Vancouver, Canada
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Gunilla Hedlin
7Centre for Allergy Research, Karolinska Institutet, Stockholm, Sweden
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Sebastian L. Johnston
8Airway Disease Infection Section, National Heart and Lung Institute, Imperial College, London, UK
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Renaud Louis
9Dept of Pneumology, CHU Sart-Tilman Liège, Liège, Belgium
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Leanne Metcalf
10Asthma UK, London, UK
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Samantha Walker
10Asthma UK, London, UK
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Antonio Moreno-Galdó
11Pediatric Pulmonology Unit, Hospital Vall d'Hebron, Barcelona, Spain
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Nikolaos G. Papadopoulos
12Dept of Allergology, University of Athens, Athens, Greece
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José Rosado-Pinto
13Immunoallergology Dept, Hospital da Luz, Lisbon, Portugal
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Pippa Powell
14European Lung Foundation, Sheffield, UK
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Tari Haahtela
15Skin and Allergy Hospital, Helsinki University Central Hospital, Helsinki, Finland
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  • FIGURE 1
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    FIGURE 1

    Increase in number of asthmatic patients entitled to special reimbursement for their drug costs (need for regular maintenance treatment), increase in drug costs per patient, decrease in death rate and decrease in hospital days due to asthma. Numbers are relative changes after 1981. Reproduced from [8].

  • FIGURE 2
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    FIGURE 2

    Realised annual expenditures of asthma care and theoretical annual costs where an increased prevalence of asthma is observed, but care practices remain at the 1987 level. Reproduced and modified from [55] with permission from the publisher.

  • FIGURE 3
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    FIGURE 3

    Hospital admission rates in France during implementation of the National Asthma Programme. Data from the Agence Technique de l'Information sur l'Hospitalisation.

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    FIGURE 4

    Flow chart of strategic planning, implementation and evaluation of the programme. GP: general practitioner; ICS: inhaled corticosteroid; NGO: non-governmental organisation. Reproduced and modified from [7] with permission from the publisher.

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  • TABLE 1

    National and regional asthma programmes identified in Europe

    Country[Ref.]Study periodInitiatorExecutor
    National
     Finland[7, 8]1994–2004Finnish Ministry of Social Affairs and Health and Working groupFinnish Lung Health organisation, a nongovernmental organisation
     France[9]2002–2005National Agency for Accreditation and Evaluation of Health on behalf of the French National Health ExecutiveEight medical specialist societies
     Ireland[10, 11]2014–2017Health Service ExecutivesAsthma Society of Ireland
     Italy[12]2013Global Alliance against Chronic Respiratory Diseases42 partners
     The Netherlands[13]2014–2018Lung Alliance Netherlands
     Poland[16]2009–ongoingPolish Society of Allergology
     Portugal[18]2000–2011; 2012–2016Directorate General of Health Portuguese Ministry of HealthDirectorate General of Health
     Turkey[20, 42]2008–ongoingTurkish Ministry of HealthTurkish Respiratory Society
    Regional
     Poland[14]2000–2003Dept of International Medicine Asthma and Allergy, Bazlicki University Hospital, LodzLodz Regional Health Insurance Fund (sponsor)

Additional Files

  • Figures
  • Tables
  • Supplementary material

    Please note: supplementary material is not edited by the Editorial Office, and is uploaded as it has been supplied by the author.

    Files in this Data Supplement:

    • Table S1 - ASTHMA PROGRAMMES in Europe
    • Table S1 continued - ASTHMA PROGRAMMES in Europe
    • Table S2 - OUTCOME of the asthma programmes in Europe
    • Table S2 continued - OUTCOME of the asthma programmes in Europe
  • Disclosures

    Files in this Data Supplement:

    • J. Bousquet
    • N.G. Papadopoulos
    • O. Selroos
    • D. Brennan
    • J. Contreras
    • T. Haahtela
    • S.L. Johnston
    • P. Kuna
    • R. Louis
    • A. Moreno-Galdo
    • S. Palkonen
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National and regional asthma programmes in Europe
Olof Selroos, Maciej Kupczyk, Piotr Kuna, Piotr Łacwik, Jean Bousquet, David Brennan, Susanna Palkonen, Javier Contreras, Mark FitzGerald, Gunilla Hedlin, Sebastian L. Johnston, Renaud Louis, Leanne Metcalf, Samantha Walker, Antonio Moreno-Galdó, Nikolaos G. Papadopoulos, José Rosado-Pinto, Pippa Powell, Tari Haahtela
European Respiratory Review Sep 2015, 24 (137) 474-483; DOI: 10.1183/16000617.00008114

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National and regional asthma programmes in Europe
Olof Selroos, Maciej Kupczyk, Piotr Kuna, Piotr Łacwik, Jean Bousquet, David Brennan, Susanna Palkonen, Javier Contreras, Mark FitzGerald, Gunilla Hedlin, Sebastian L. Johnston, Renaud Louis, Leanne Metcalf, Samantha Walker, Antonio Moreno-Galdó, Nikolaos G. Papadopoulos, José Rosado-Pinto, Pippa Powell, Tari Haahtela
European Respiratory Review Sep 2015, 24 (137) 474-483; DOI: 10.1183/16000617.00008114
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