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Organisation of asthma care in primary health care in Mid-Sweden
Department of Public Health and Caring Sciences, Section of Family Medicine and Clinical Epidemiology, Science Park, Uppsala, Sweden.
Department of Public Health and Caring Sciences, Section of Family Medicine and Clinical Epidemiology, Science Park, Uppsala, Sweden.
Department of Public Health and Caring Sciences, Section of Family Medicine and Clinical Epidemiology, Science Park, Uppsala, Sweden.ORCID iD: 0000-0003-4241-7851
Department of Public Health and Caring Sciences, Section of Family Medicine and Clinical Epidemiology, Science Park, Uppsala, Sweden.
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2005 (English)In: Primary Care Respiratory Journal, ISSN 1471-4418, E-ISSN 1475-1534, Vol. 14, no 3, p. 147-153Article in journal (Refereed) Published
Abstract [en]

AIM: To investigate the organisation of asthma care in 240 primary health care centres (PHCCs) in Mid-Sweden.

METHODS: A cross-sectional study. Main outcomes were occurrence and structure of nurse-based asthma clinics according to nationally recommended criteria, and access and use of spirometers.

RESULTS: 238 PHCCs (99%) responded. 16% reported a complete, and 37% an incomplete, asthma clinic. 47% of PHCCs had no asthma clinic. The incomplete asthma clinics usually lacked sufficient asthma nurse time, a scheduled nurse surgery and a responsible GP. 77% of the PHCCs had access to a spirometer and on average 19 spirometries/1000 inhabitants/year were performed. There was a large variation in the use of spirometers.

CONCLUSION: Half of the PHCCs had an asthma clinic and a majority had access to a spirometer. More frequent use of spirometry and increased time provision for the asthma nurse would be likely to produce a substantial improvement in the standard of asthma care in primary health care.

Place, publisher, year, edition, pages
Elsevier, 2005. Vol. 14, no 3, p. 147-153
Keywords [en]
Asthma; Asthma clinic; Primary health care; Quality of health care; Spirometer
National Category
Respiratory Medicine and Allergy
Identifiers
URN: urn:nbn:se:oru:diva-55843DOI: 10.1016/j.pcrj.2005.03.003PubMedID: 16701714Scopus ID: 2-s2.0-19344372262OAI: oai:DiVA.org:oru-55843DiVA, id: diva2:1075319
Available from: 2017-02-17 Created: 2017-02-17 Last updated: 2017-11-29Bibliographically approved

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