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

Primary Care Respiratory Journal

Volumn 19, Issue 1, 2010, Pages 52-56

  Dennis, Sarah M ^a   Zwar, Nicholas A ^a   Marks, Guy B ^b,c  

^a UNIVERSITY OF NEW SOUTH WALES   (Australia)

^b UNIVERSITY OF SYDNEY   (Australia)

^c LIVERPOOL HOSPITAL   (Australia)

Author keywords

Asthma; Diagnosis; Focus group; Primary health care

Indexed keywords

ADULT; ARTICLE; ASTHMA; AUSTRALIA; DOCTOR PATIENT RELATION; FEMALE; FOLLOW UP; GENERAL PRACTITIONER; HUMAN; MAJOR CLINICAL STUDY; MALE; PATIENT CARE; PATIENT PARTICIPATION; PRIMARY MEDICAL CARE; QUALITATIVE RESEARCH; SPIROMETRY; TIME;

ASTHMA; ATTITUDE OF HEALTH PERSONNEL; AUSTRALIA; CLINICAL COMPETENCE; FEMALE; FOCUS GROUPS; HUMANS; MALE; PATIENT ACCEPTANCE OF HEALTH CARE; PHYSICIAN-PATIENT RELATIONS; PHYSICIANS, FAMILY; PRIMARY HEALTH CARE; QUALITATIVE RESEARCH; SPIROMETRY;

EID: 77749233902     PISSN: 14714418     EISSN: 14751534     Source Type: Journal    
DOI: 10.4104/pcrj.2009.00046     Document Type: Article

References (22)

1. van Schayck C, van der Heijden F, van den Boon G, Tirimanna P, van Herwaarden C. Underdiagnosis of asthma: is the doctor or patient to blame? The DIMCA project. Thorax 2000;55:562-5. http://dx.doi.org/10.1136/ thorax.55.7.562
2. Montnemery P, Hansson L, Lanke J, et al. Accuracy of a first diagnosis of asthma in primary health care. Fam Pract 2002;19(4):365-8. http://dx.doi.org/10.1093/fampra/19.4.365
3. Marklund B, Tunsater A, Bengtsson C. How often is the diagnosis bronchial asthma correct? Fam Pract 1999;16(2):112-16. http://dx.doi.org/ 10.1093/fampra/16.2.112
4. Adams N, Bestall JM, Jones PW. Beclomethasone versus budesonide for chronic asthma. Cochrane Database of Systematic Reviews 2000, Issue 1. Art. No.: CD003530. DOI: 10.1002/14651858.CD003530
5. Levy M, Bell L. General practice audit of asthma in childhood. BMJ 1984;289:1115-16. http://dx.doi.org/10.1136/bmj.289.6452.1115
6. Anderson H, Bailey P, Cooper J, Palmer J, West S. Influence of morbidity illness label and social, family and health service factors on drug treatment of childhood asthma. Lancet 1981;2:1030-32. http://dx.doi.org/10. 1016/S0140-6736(81)91225-3
7. National Asthma Council Australia. Asthma Management Handbook 2006 Melbourne; 2006 Contract No.: Document Number|.
8. British Thoracic Society, Scottish Intercollegiate Guidelines Network. British Guideline on the Management of Asthma: A national clinical guideline. Thorax 2008;63(suppl 4):iv1-iv121.
9. Global Strategy for Asthma Management and Prevention, Global Initiative for Asthma (GINA). [December 2007; cited 2008 11 July]; Available from: http://www.ginasthma.org.
10. Dennis S, Price J, Vickers M, Frost C, Levy M, Barnes P. The management of newly identified asthma in primary care in England. Prim Care Resp J 2002;11(4):120-2.
11. Thiadens H, de Bock G, Dekker F, et al. Identifying asthma and chronic obstructive pulmonary disease in patients with persistent cough presenting to general practitioners: descriptive study. BMJ 1998;316:1286-90.
12. Sistek D, Tschopp J-M, Schindler C, Brutsche M, Ackermann-Liebrich U, and the SAPALDIA team. Clinical diagnosis of current asthma: predictive value of respiratory symptoms in the SAPALDIA study. Eur Respir J 2001;17:214-19.
13. Bauman A, Young L, Peat JK, Hunt J, Larkin P. Asthma under-recognition and under-treatment in an Australian community. Aus & NZ J Med 1992;22(1):36-40.
14. Cagney M, MacIntyre C, McIntyre P, Peat J. Childhood asthma diagnosis and use of asthma medication. Aus Fam Phys 2005;34(3):193-6.
15. Mommers M, Swaen G, Weishoff-Houben M, Dott W, van Schayck C. Differences in asthma diagnosis and medication use in children living in Germany and the Netherlands. Prim Care Resp J 2005;14:31-7. http://dx.doi.org/10. 1016/j.pcrj.2004.03.008
16. Zwar NA, Comino EJ, Hasan I, Harris MF, Primary Health Care Research N. General practitioner views on barriers and facilitators to implementation of the Asthma 3+ Visit Plan. Med J Aus 2005;183(2):64-7.
17. Watts I, Foley E, Hutchinson R, Pascoe T, Whitecross L, Snowdon T. General Practice Nursing in Australia: Royal Australian College of General Practitioners, Royal College of Nursing Australia; 2004 May 2004.
18. Wiener-Ogilvie S, Huby G, Pinnock H, Gillies J, Sheikh A. Practice organisational characteristics can impact on compliance with the BTS/SIGN asthma guideline: Qualitative comparative case study in primary care. BMC Family Practice 2008;9(1):32. http://dx.doi.org/10.1186/1471-2296-9-32
19. Freeman GK, Olesen F, Hjortdahl P. Continuity of care: an essential element of modern general practice? Fam Pract 2003;20(6):623-7. http://dx.doi.org/10.1093/fampra/cmg601
20. Saultz JW, Albedaiwi W. Interpersonal Continuity of Care and Patient Satisfaction: A Critical Review. Ann Fam Med 2004;2(5):445-51. http://dx.doi.org/10.1370/afm.91
21. Saultz JW, Lochner J. Interpersonal Continuity of Care and Care Outcomes: A Critical Review. Ann Fam Med 2005;3(2):159-66. http://dx.doi.org/10.1370/afm.285
22. Drivsholm T, Olivarius NdF. General practitioners may diagnose type 2 diabetes mellitus at an early disease stage in patients they know well. Fam Pract 2006;23(2):192-7. http://dx.doi.org/10.1093/fampra/cmi123