Healthcare resources, organisational support and practice in asthma in six public health clinics in Malaysia.
Journal
NPJ primary care respiratory medicine
ISSN: 2055-1010
Titre abrégé: NPJ Prim Care Respir Med
Pays: England
ID NLM: 101631999
Informations de publication
Date de publication:
27 03 2023
27 03 2023
Historique:
received:
12
07
2022
accepted:
07
03
2023
medline:
29
3
2023
entrez:
27
3
2023
pubmed:
28
3
2023
Statut:
epublish
Résumé
Asthma, a common chronic respiratory illness is mostly managed in primary care. We aimed to determine healthcare resources, organisational support, and doctors' practice in managing asthma in a Malaysian primary care setting. A total of six public health clinics participated. We found four clinics had dedicated asthma services. There was only one clinic which had a tracing defaulter system. Long-term controller medications were available in all clinics, but not adequately provided. Resources, educational materials, and equipment for asthma management were present, though restricted in number and not placed in main locations of the clinic. To diagnose asthma, most doctors used clinical judgement and peak flow metre measurements with reversibility test. Although spirometry is recommended to diagnose asthma, it was less practiced, being inaccessible and unskilled in using as the main reasons. Most doctors reported providing asthma self-management; asthma action plan, but for only half of the patients that they encountered. In conclusion, there is still room for improvement in the provision of clinic resources and support for asthma care. Utilising peak flow metre measurement and reversibility test suggest practical alternative in low resource for spirometry. Reinforcing education on asthma action plan is vital to ensure optimal asthma care.
Identifiants
pubmed: 36973274
doi: 10.1038/s41533-023-00337-8
pii: 10.1038/s41533-023-00337-8
pmc: PMC10042823
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
13Subventions
Organisme : Department of Health
Pays : United Kingdom
Informations de copyright
© 2023. The Author(s).
Références
J Prim Care Community Health. 2020 Jan-Dec;11:2150132720956478
pubmed: 33089737
Respir Care. 2008 May;53(5):583-90; discussion 590-2
pubmed: 18426612
Prim Care Respir J. 2010 Mar;19(1):52-6
pubmed: 19623470
Eur Respir J. 2022 Feb 15;:
pubmed: 35169025
PLoS One. 2017 Feb 14;12(2):e0172229
pubmed: 28196113
Thorax. 2007 Sep;62(9):758-66
pubmed: 17504817
BMC Public Health. 2015 Aug 06;15:754
pubmed: 26246019
J Allergy Clin Immunol. 2003 Feb;111(2):263-8
pubmed: 12589343
Arch Bronconeumol. 2006 Jul;42(7):326-31
pubmed: 16945262
Prim Care Respir J. 2009 Jun;18(2):100-5
pubmed: 18830522
Prim Care Respir J. 2003 Mar;12(1):7-11
pubmed: 31700335
Pharmacoepidemiol Drug Saf. 2009 May;18(5):393-400
pubmed: 19288473
Med J Aust. 2015 May 18;202(9):492-7
pubmed: 25971575
Allergy Asthma Clin Immunol. 2018 Jul 10;14:29
pubmed: 30002684
J Am Board Fam Med. 2019 Jan-Feb;32(1):37-49
pubmed: 30610140
Respir Med. 2018 Sep;142:48-52
pubmed: 30170801
Prim Care Respir J. 2005 Jun;14(3):147-53
pubmed: 16701714
Breathe (Sheff). 2019 Mar;15(1):e20-e27
pubmed: 31031841
Cochrane Database Syst Rev. 2012 Apr 18;(4):CD003533
pubmed: 22513914
BMC Med. 2017 Mar 17;15(1):64
pubmed: 28302126
Med J Aust. 2018 Jul 16;209(S2):S34-S40
pubmed: 30453871
J Allergy Clin Immunol Pract. 2019 Jan;7(1):199-216.e11
pubmed: 30055283
Respirology. 2005 Nov;10(5):579-86
pubmed: 16268910
Asia Pac J Public Health. 2017 Jul;29(5):422-429
pubmed: 28719788
Thorax. 2021 May;76(5):434-440
pubmed: 33479040
NPJ Prim Care Respir Med. 2021 Jul 7;31(1):38
pubmed: 34234145
BMJ. 2020 Aug 18;370:m2521
pubmed: 32816816
NPJ Prim Care Respir Med. 2019 Jul 17;29(1):27
pubmed: 31316068
BMC Fam Pract. 2007 Apr 24;8:23
pubmed: 17456241
Prim Health Care Res Dev. 2020 Feb 24;21:e4
pubmed: 32090729
NPJ Prim Care Respir Med. 2020 Jun 17;30(1):29
pubmed: 32555169
Lancet. 2020 Oct 17;396(10258):1204-1222
pubmed: 33069326
Respirology. 2006 May;11(3):292-8
pubmed: 16635087
Chest. 2015 Oct;148(4):870-876
pubmed: 25789861