Asthma at the interface: bridging the gap between general practice and a district general hospital.

I, Charlton; Antoniou, Antonios G; Atkinson, J; Campbell, M J; Chapman, Ellen; Mackintosh, T. F.; Schapira, David V.

doi:10.1136/adc.70.4.313

Cited by 50 publications

(28 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In adults, most such plans are based on a combination of subjective and objective monitoring, with the dependency upon peak flows being justified by studies suggesting that significant numbers of those with asthma have a poor correlation between subjective perception of severity and objective monitoring [61][62][63]. In children, the situation is less clear, but even when the child can undertake peak flow monitoring, some suggest that serial peak flow monitoring may be efficacious [64], whilst others suggest that it may be misleading [65]. However, parents clearly value such objective clarification of the severity of their child's asthma [66].…”

Section: Patient Education and Self-managementmentioning

confidence: 99%

“…This is often suggested as a step to be taken at the first sign of a cold, and this may be logical in view of recent studies showing the frequency with which attacks are associated with viral infections [68]. There has also been a recent suggestion that such increases of inhaled steroids may be effective [64], despite this having been noted as an area of uncertainty in the guidelines [6].…”

Section: Patient Education and Self-managementmentioning

confidence: 99%

“…Issuing such 3-4 step self-management plans, whether on preprinted sheets or on credit card sized cards, has been evaluated in several trials [64,[69][70][71], with positive results. Another study suggests that it is those with the more severe asthma who are most likely to benefit [72].…”

Section: Patient Education and Self-managementmentioning

confidence: 99%

See 2 more Smart Citations

Delivering optimal care to the person with asthma: what are the key components and what do we mean by patient education?

Partridge¹

1995

Eur Respir J

View full text Add to dashboard Cite

D De el li iv ve er ri in ng g o op pt ti im ma al l c ca ar re e t to o t th he e p pe er rs so on n w wi it th h a as st th hm ma a: : w wh ha at t a ar re e t th he e k ke ey y c co om mp po on ne en nt ts s a an nd d w wh ha at t d do o w we e m me ea an n b by y p pa at ti ie en nt t e ed du uc ca at ti io on n? ? ABSTRACT: The new understanding of the pathogenesis of asthma has led to an increasing perception of the disease as a chronic condition, rather than one consisting of acute exacerbations. Health professionals need to help patients to accept this new understanding, and this involves a consideration of how best to deliver care and how best to enhance compliance.Good communication is essential, and structured patient education has now been shown to be cost effective. All health professionals need to think how education may best be incorporated into their care. Such care will involve the development of a partnership between health professional and the patient and their loved ones, and the acquisition by patients of skills in self-management.Several unknowns remain regarding who benefits more from group education as opposed to individual education, and some details of guided self-management. However, in the face of clear evidence of the benefits of patient education, these areas for further study should not delay the adoption of a strong commitment to education by all of those who care for those with asthma.

show abstract

Section: Patient Education and Self-managementmentioning

confidence: 99%

Section: Patient Education and Self-managementmentioning

confidence: 99%

See 1 more Smart Citation

Delivering optimal care to the person with asthma: what are the key components and what do we mean by patient education?

Partridge¹

1995

Eur Respir J

View full text Add to dashboard Cite

show abstract

“…17 In the UK, nurse-led asthma care can be found in many primary care facilities and evidence suggests that it results in positive outcomes. 18,19 The significance of consultation style is, however, unknown; indeed, there is a paucity of published research into the ways in which health practitioners other than doctors interact with children during healthcare consultations.…”

Section: G R O U P R E P R O D U C T I O N P R O H I B I T E Dmentioning

confidence: 99%

Factors affecting children's involvement in asthma consultations: a questionnaire survey of general practitioners and primary care asthma nurses

McPherson

Redsell

2008

Primary Care Respiratory Journal

View full text Add to dashboard Cite

Aim: To explore UK primary care healthcare practitioners' involvement of children in asthma consultations.Method: Self-report questionnaires with both quantitative and qualitative sections were sent to 124 consenting general practices in seven Primary Care Trusts for completion by nurses and general practitioners (GPs).Results: Some healthcare practitioners struggle to achieve concordance with children in consultations. Communication with children and their parents can be challenging, with parents acting as potential facilitators and barriers. Age and cognitive ability are perceived to be the most important factors affecting children's involvement in consultations.Conclusions: Involving children in consultations is challenging and some practitioners have developed specific strategies to help them communicate. However, additional training may be needed to enable them to facilitate children's involvement.

show abstract

“…Regular follow-up is recommended to ensure correct use of prescribed drugs and to reinforce the patient9s and caregiver9s knowledge of asthma and management of the disease. Various intervention studies have demonstrated that patient education, mainly provided by an asthma nurse, resulted in better control of childhood asthma [10][11][12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Impact of nurse-led outpatient management of children with asthma on healthcare resource utilisation and costs

Kamps¹,

Roorda²,

Kimpen³

et al. 2004

Eur Respir J

View full text Add to dashboard Cite

The high burden of asthma on healthcare utilisation and costs warrants economic appraisal of management approaches. The authors previously demonstrated that the efficacy of nurse-led outpatient management of childhood asthma was comparable to management by a paediatrician and now report on the healthcare utilisation and costs of both management approaches.A total of 74 newly referred children with asthma were randomly assigned to a 1-yr follow-up by paediatricians or asthma nurse. Healthcare utilisation was recorded and associated costs calculated for both management approaches.There were no significant differences in healthcare utilisation except for the total time spent on patient contact (136(n=14) versus 187(n=41) min, for patients followed-up by paediatrician and an asthma nurse repectively). Costs within the healthcare sector were reduced by 7.2% in favour of nurse-led care. The reduction in costs was solely attributable to a 17.5% reduction in the costs of outpatient visits. Nurse-led care appeared to be cost-saving even if the duration of follow-up visits would be twice that of doctor9s visits. Overall healthcare costs (within and outside the healthcare sector) were 4.1% lower for nurse-led outpatient management compared to traditional medical care.Nurse-led outpatient management of childhood asthma can be provided at a lower cost than medical care by paediatricians.

show abstract

Asthma at the interface: bridging the gap between general practice and a district general hospital.

Cited by 50 publications

References 27 publications

Delivering optimal care to the person with asthma: what are the key components and what do we mean by patient education?

Delivering optimal care to the person with asthma: what are the key components and what do we mean by patient education?

Factors affecting children's involvement in asthma consultations: a questionnaire survey of general practitioners and primary care asthma nurses

Impact of nurse-led outpatient management of children with asthma on healthcare resource utilisation and costs

Contact Info

Product

Resources

About