Asthma Adherence Management for the Clinician

被引：10
作者：
Weinstein, Andrew G. [1 ]
机构：
[1] Thomas Jefferson Med Coll, Wilmington, DE USA
来源：
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE | 2013年 / 1卷 / 02期
基金：
美国国家卫生研究院;
关键词：
Adult/child asthma; Adherence; Outcomes; Patient-centered communication; Health beliefs; Barriers;
D O I：
10.1016/j.jaip.2013.01.009
中图分类号：
R392 [医学免疫学];
学科分类号：
100102 ;
摘要：
BACKGROUND: Nonadherence to asthma treatment has been related to increased hospital and emergency care, morbidity, and unnecessary costs. Improving patient adherence is a key component to achieving optimal outcomes. OBJECTIVE: Review barriers, interventions, and communication skills shown to be effective in promoting asthma adherence. METHODS: Asthma adherence literature was reviewed. RESULTS: Sequential management principles to achieve adherence include the following: (1) measuring adherence, (2) identifying barriers that result in nonadherence, (3) using specific strategies to overcome barriers; and (4) using communication skills to enhance the delivery of selected strategies. CONCLUSION: Careful attention to adherence management principles may increase adherence, enhance outcomes, and reduce unnecessary morbidity and cost. The case described applies these principles and gives the reader a framework to review. (C) 2013 American Academy of Allergy, Asthma & Immunology
引用
收藏
页码：123 / 128
页数：6
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