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Asthma Guidelines and Related Education Programs
Compliance of primary care doctors with asthma guidelines and related education programs:
The employment factor
Sarrell EM1,2, Mandelberg A3, Cohen HA1,2,4, Kahan E2,4
1Pediatric and Adolescent Ambulatory Community Clinic of Gen. Health Services, 2IPROS Network of the Israel Ambulatory Ped. Ass., 3Ped. Pulm. Unit, Wolfson Med. Center, 4Dep. of Fam. Med., Sackler Faculty of Med., Tel Aviv University, Israel
Background
To properly care for their asthma patients, primary care physicians need to follow accepted asthma guidelines.
Objectives:
To investigate the compliance of primary care physicians with clinical guidelines for asthma treatment and their participation in related educational programs, and to evaluate the influence of employment status.
Methods:
A questionnaire was administered to a random sample of 1000 primary care practitioners (pediatricians and family physicians) in Israel.
Results:
Response rate 64%. Of them 473 (75%) had read and consulted the guidelines but only 192 (29%) had participated in an educational program on asthma management in the last 12 months. The younger the responding physician (fewer years in practice), the more likely his/her attendance in such a program (p <0.0001). 40% had modified their treatment strategies after consulting the guidelines. Significantly more self-employed than salaried physicians had read the guidelines and participated in educational programs. Those who were both self-employed and salaried fell somewhere between these groups.
Conclusion:
The publication of guidelines on asthma must be followed by their proper dissemination and utilization. Our study suggests that major efforts should be directed at the population of employed physicians.
Asthma Related Key words
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