Asthma Care Practices of Pediatricians in Incheon, Korea and Adherence to Asthma Guidelines

Sun, Yong Han; In, Denisov; Kim, J.

doi:10.1016/j.jaci.2005.12.1146

Cited by 1 publication

(1 citation statement)

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“…For example, 16.8% of family physicians in the current study were providing WAAP for their patients with asthma compared with 16.4% of primary care physicians in the USA (16), 25.7% of general practitioners in Italy (17), and 4% of primary care physicians in Canada (18). Moreover, the current rate of utilization of WAAP by the patients with asthma managed in this study (6.8%) was similar or lower than similar international studies; which ranged between 5.2% and 39% in different settings (19,22,23). The suboptimal utilization of WAAP observed in the current and international studies continued to happen despite the fact that national and international guidelines strongly recommend the use of WAAP as an effective tool to facilitate self-management in patients with asthma (3,4).…”

Section: Discussionsupporting

confidence: 50%

Prevalence and barriers of providing written asthma action plan by primary care physicians in Saudi Arabia (2019); a multivariate regression analysis

Alshamrani¹,

Albalawi²,

Afify³

et al. 2020

Electron. physician

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Background: Personalized written asthma action plans (WAAP) can assist self-management of asthma and improve management outcomes. In Saudi Arabia, data assessing the adherence with providing WAAP are decidedly lacking. Objective: To determine the prevalence of providing WAAP and its perceived barriers by family physicians. Methods: A cross-sectional study was conducted among family physicians working in family medicine clinics of Prince Sultan Military Medical City (Riyadh, Saudi Arabia) during November 2019. Physicians were asked to fill in a researcher-made study questionnaire that included potential WAAP barriers. IBM© SPSS© Statistics version 21 was used for statistical analyses. Results: Out of 202 physicians included in the current study, only 34 (16.8%) were providing WAAP for their patients with asthma. Only 6.8% of the patients seen by the study physicians were receiving WAAP. In multivariate logistic regression analysis, larger number of patients encountered per month and non-adherence of patients to management plans were significantly associated with providing WAAP. Odds ratios (OR) were "OR: 1.02, 95% CI: 1.01-1.04, p=0.009" and "OR: 3.33, 95% CI: 1.40-7.87, p=0.006. On the other hand, lack of awareness with WAAP recommendations was significantly associated with not providing WAAP (OR: 0.19, 95% CI: 0.04-0.89, p=0.035). Conclusions:The finding confirms the low utilization of WAAP at primary care setting in Saudi Arabia, which is probably reflecting a limited education and training rather than a negative attitude towards WAAP. The findings underscore the need to raise the awareness of family physicians with WAAP recommendations and the need to fix some workflow issues.

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