91黑料网

Asthma Medication Ratio

INACTIVE REVIEW: This measure review is older than five years.

The percentage of patients who have a medication ratio of controller medications to total asthma medications of 0.50 or greater during the measurement year.

Date Reviewed: July 26, 2015
Do Not Support
    Health Plan Integrated Delivery System

Measure Info

NQF 1800
Measure Type
Process
Measure Steward
National Committee for Quality Assurance
Clinical Topic Area
Asthma
Care Setting
Outpatient
Data Source
Claims

91黑料网 does not support NQF 1800: 鈥淎sthma Medication Ratio (AMR)鈥. Although we agree that all patients with persistent asthma should be prescribed a controller medication, there is a lack of evidence to suggest that the ratio of controller medications to total asthma medications should be 0.50 or greater. Also, it is unclear what constitutes this half. For example, is it the number of prescriptions or the medication dosage? Evidence indicates that the combination of controller and rescue medications in adults leads to improvements in lung function and symptoms in patients with asthma, however; the efficacy of long-term therapy is determined by a dose-response curve. Furthermore, the dose-response rate to controller medications may vary, thus some patients experience therapeutic effects at lower doses. Therefore, the potential for adverse effects must be weighed against the risk of uncontrolled asthma on an individual patient basis. Furthermore, to the extent that this is calculated by using dispensed medications, it may not reflect actual usage.