JMIR Publications

ABSTRACT

Background:

Chronic obstructive pulmonary disease (COPD) and asthma are examples of chronic respiratory diseases

Objective:

To evaluate the efficiency of the application of the hospital case management information system

Methods:

In general hospitals, the chronic disease management information system was developed using “Internet technology, a chronic disease case management model, and overall quality management”. Using this system, the case managers provided sophisticated inpatient, outpatient, and home medical services for patients with CRD. Before (2016–2018) and after (2019–2021) implementation of the chronic disease management information system, CRD case management quality indicators (number of managed cases, number of patients accepting routine follow-up services, follow-up visit rate, pulmonary function test rate, admission rate for acute exacerbations, CRD knowledge awareness rate, and patient satisfaction) were evaluated.

Results:

The number of CRD cases and that of routine follow-ups increased after use, reaching 3.2 and 3.4 times that before use, respectively, U=342.779, P<0.001, and the difference was statistically significant; the follow-up visit rate increased by 50.2%, pulmonary function test rate increased by 26.2%, CRD knowledge awareness rate increased by 20.1%, the retention rate increased by 16.3%, patient satisfaction increased by 9.6%, P<0.001 for all; but the admission rate for acute exacerbations decreased by 42.4%, P<0.05

Conclusions:

The chronic disease management information system enhanced the quality of CRD case management and decreased the admission rate for acute exacerbations.