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https://hdl.handle.net/2440/51250
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Type: | Journal article |
Title: | Management of asthma in Australian general practice: Care is still not in line with clinical practice guidelines |
Author: | Barton, C. Proudfoot, J. Amoroso, C. Ramsay, E. Holton, C. Bubner, T. Harris, M. Beilby, J. |
Citation: | Primary Care Respiratory Journal, 2009; 18(2):100-105 |
Publisher: | Strategic Medical Publishing |
Issue Date: | 2009 |
ISSN: | 1471-4418 1475-1534 |
Statement of Responsibility: | Christopher Barton, Judith Proudfoot, Cheryl Amoroso, Emmae Ramsay, Christine Holton, Tanya Bubner, Mark Harris, Justin Beilby |
Abstract: | <h4>Objective and background</h4>We investigated the quality of primary care asthma management in a sample of Australian general practices.<h4>Methods</h4>247 general practitioners (GPs) from 97 practices completed a structured interview about management of asthma, diabetes and hypertension/heart disease. A further structured interview with the senior practice principal and practice manager was used to collect information about practice capacity for chronic disease management.<h4>Results</h4>Just under half of GPs (47%) had access to an asthma register and the majority (76%) had access to spirometry in their practice. In terms of routine management of asthma, 12% of GPs reported using spirometry routinely, 13% routinely reviewed written asthma action plans, 27% routinely provided education about trigger factors, 30% routinely reviewed inhaler technique, 24% routinely assessed asthma severity, and 29% routinely assessed physical activity. Practice characteristics such as practice size (p=1.0) and locality (rural/metropolitan) (p=0.7) did not predict quality of asthma management nor did indicators of practice capacity including Business maturity, IT/IM maturity, Multidisciplinary teamwork, and Clinical linkages.<h4>Conclusion</h4>Gaps remain in the provision of evidence-based care for patients with asthma in general practice. Markers of practice capacity measured here were not associated with guideline-based respiratory care within practices. |
Keywords: | asthma primary health care practice guidelines clinical practice physicians quality assessment |
DOI: | 10.3132/pcrj.2008.00059 |
Published version: | http://dx.doi.org/10.3132/pcrj.2008.00059 |
Appears in Collections: | Aurora harvest General Practice publications |
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