Diagnosing asthma in adults in primary care: a qualitative study of Australian GPs' experiences

被引：23

作者：

Dennis, Sarah M. ^{[1
]}

Zwar, Nicholas A. ^{[2
]}

Marks, Guy B. ^{[3
,4
]}

机构：

[1] Univ New S Wales, Sch Publ Hlth & Community Med, Ctr Primary Hlth Care & Equ, Sydney, NSW, Australia

[2] Univ New S Wales, Sch Publ Hlth & Community Med, Sydney, NSW, Australia

[3] Univ Sydney, Woolcock Inst Med Res, Epidemiol Grp, Sydney, NSW 2006, Australia

[4] Liverpool Hosp, Dept Resp Med, Sydney, NSW, Australia

来源：

PRIMARY CARE RESPIRATORY JOURNAL | 2010年 / 19卷 / 01期

关键词：

asthma; diagnosis; primary health care; focus group; INTERPERSONAL CONTINUITY; GENERAL-PRACTITIONERS; PATIENT; DISEASE;

D O I：

10.4104/pcrj.2009.00046

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Aim: To explore what difficulties are faced by general practitioners (GPs) when trying to make a diagnosis of asthma in adults, and whether there are patient characteristics that influence this process. Methods: A qualitative study in which three focus group discussions were conducted with 18 GPs. Results: GPs were confident with the components needed to confirm a diagnosis of asthma but not with the use of spirometry. GPs said that time was an important factor time to undertake the tests in their practice, and time to persuade the patient to engage in the diagnostic process including follow-up visits. Patients who were less willing to engage in this process were likely to be treated symptomatically. Conclusion: Continuity of care is important. A diagnosis of asthma seems to be more likely in patients with an ongoing relationship with their GP where both are willing to engage in the diagnostic process. 2010 Primary Care Respiratory Society UK. All rights reserved. SM Dennis, et al. Prim Care Resp J 2010; 19(1): 52-56. doi:10.4104/perj.2009.00046

引用

页码：52 / 56

页数：5

共 22 条

[1]

Adams N, 2000, COCHRANE DB SYST REV, DOI DOI 10.1002/14651858.CD003530

[2]

ANDERSON HR, 1981, LANCET, V2, P1030

[3]

[Anonymous], ASTHM MAN HDB 2006

[4] Inoperable brain metastases from non-small cell lung cancer: what part does whole brain radiotherapy play in standard treatment? [J].

Barton, Rachael .

THORAX, 2008, 63 (01) :1-2

[5] ASTHMA UNDER-RECOGNITION AND UNDER-TREATMENT IN AN AUSTRALIAN COMMUNITY [J].

BAUMAN, A ;

YOUNG, L ;

PEAT, JK ;

HUNT, J ;

LARKIN, P .

AUSTRALIAN AND NEW ZEALAND JOURNAL OF MEDICINE, 1992, 22 (01) :36-40

[6]

Cagney M, 2005, Aust Fam Physician, V34, P193

[7]

Dennis S, 2002, PRIM CARE RESP J, V11, P120

[8] General practitioners may diagnose type 2 diabetes mellitus at an early disease stage in patients they know well [J].

Drivsholm, T ;

Olivarius, ND .

FAMILY PRACTICE, 2006, 23 (02) :192-197

[9] Continuity of care: an essential element of modern general practice? [J].

Freeman, GK ;

Olesen, F ;

Hjortdahl, P .

FAMILY PRACTICE, 2003, 20 (06) :623-627

[10]

Global strategy for asthma management and prevention, GLOB STRAT ASTHM MAN

← 1 2 3 →