Unmet Primary Physicians' Needs for Allergic Rhinitis Care in Korea

被引:14
作者
Yang, Hyeon-Jong [1 ,2 ]
Kim, Young Hyo [3 ]
Lee, Bora [4 ]
Kong, Do Youn [5 ]
Kim, Dong-Kyu [6 ,7 ]
Kim, Mi-Ae [8 ]
Kim, Bong-Seong [9 ]
Kim, Won-young [10 ]
Kim, Jeong Hee [11 ]
Park, Yang [12 ]
Park, So Yeon [13 ]
Bae, Woo Yong [14 ]
Song, Keejae [15 ]
Yang, Min Suk [16 ]
Lee, Sang Min [17 ]
Lee, Young-Mok [18 ]
Lee, Hyun Jong [19 ]
Cho, Jae-Hong [20 ]
Jee, Hye Mi [21 ]
Choi, Jeong-Hee [22 ]
Yoo, Young [23 ,24 ]
Koh, Young-Il [25 ]
机构
[1] Soonchunhyang Univ, Coll Med, Pediat Allergy & Resp Ctr, Dept Pediat, Seoul, South Korea
[2] Soonchunhyang Univ Hosp, SCH Biomed Informat Res Unit, Seoul, South Korea
[3] Inha Univ, Coll Med, Dept Otorhinolaryngol, Incheon, South Korea
[4] Soonchunhyang Med Ctr, Clin Trial Ctr, Dept Biostat Consulting, Bucheon, South Korea
[5] MBL Childrens Hosp, Daejeon, South Korea
[6] Hallym Univ, Chuncheon Sacred Heart Hosp, Dept Otorhinolaryngol Head & Neck Surg, Chunchon, South Korea
[7] Hallym Univ, Coll Med, Nanobio Regenerat Med Inst, Chunchon, South Korea
[8] CHA Univ, CHA Bundang Med Ctr, Dept Pulmonol Allergy & Crit Care Med, Seongnam, South Korea
[9] Univ Ulsan, Coll Med, Gangneung Asan Hosp, Dept Pediat, Kangnung, South Korea
[10] Wooridul Private Internal Clin, Gwangju, South Korea
[11] Inha Univ, Coll Med, Inha Univ Hosp, Dept Pediat, Incheon, South Korea
[12] Wonkwang Univ, Coll Med, Sanbon Hosp, Dept Pediat, Gunpo, South Korea
[13] A&A Clin, Seongnam, South Korea
[14] Dong A Univ, Coll Med, Dept Otorhinolaryngol Head & Neck Surg, Busan, South Korea
[15] Catholic Kwandong Univ, Int St Marys Hosp, Dept Otorhinolaryngol Head & Neck Surg, Incheon, South Korea
[16] Seoul Natl Univ, Boramae Med Ctr, Dept Internal Med, Div Allergy & Clin Immunol, Seoul, South Korea
[17] Gachon Univ, Gil Med Ctr, Dept Internal Med, Div Pulmonol & Allergy, Incheon, South Korea
[18] GF Internal Med Allergy Clin, Seoul, South Korea
[19] Lee & Hong ENT Sleep & Cosmet Ctr, Seongnam, South Korea
[20] Cho & Pk ENT Clin, Suwon, South Korea
[21] CHA Univ, Sch Med, CHA Bundang Med Ctr, Derpartment Pediat, Seongnam, South Korea
[22] Hallym Univ, Dongtan Sacred Heart Hosp, Dept Pulmonol & Allergy, 7 Keunjaebong Gil, Hwaseong 18450, South Korea
[23] Korea Univ, Anam Hosp, Dept Pediat, Seoul, South Korea
[24] Korea Univ, Allergy Immunol Ctr, Seoul, South Korea
[25] Chonnam Natl Univ, Med Sch & Hosp, Dept Internal Med, Gwangju, South Korea
关键词
Allergic rhinitis; needs assessment; survey and questionnaires; NUTRITION EXAMINATION SURVEY; NATIONAL-HEALTH; ARIA GUIDELINES; SOUTH-KOREA; ASTHMA; PREVALENCE; BURDEN; IMPACT;
D O I
10.4168/aair.2017.9.3.265
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Allergic rhinitis (AR) is one of the most common chronic allergic respiratory diseases worldwide. Various practical guidelines for AR have been developed and updated to improve the care of AR patients; however, up to 40% patients remain symptomatic. The unmet need for AR care is one of the greatest public health problems in the world. The gaps between guideline and real-world practice, and differences according to the region, culture, and medical environments may be the causes of unmet needs for AR care. Because there is no evidence-based AR practical guideline reflecting the Korean particularity, various needs are increasing. The purpose of the study was to evaluate whether existing guidelines are sufficient for AR patient management in real practice and whether development of regional guidelines to reflect regional differences is needed in Korea. A total of 99 primary physicians comprising internists, pediatricians, and otolaryngologists (n=33 for each) were surveyed by a questionnaire relating to unmet needs for AR care between June 2 and June 16 of 2014. Among 39 question items, participants strongly agreed on 15 items that existing guidelines were highly insufficient and needed new guidelines. However, there was some disagreement according to specialties for another 24 items. In conclusion, the survey results demonstrated that many physicians did not agree with the current AR guideline, and a new guideline reflecting Korean particularity was needed.
引用
收藏
页码:265 / 271
页数:7
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