Physicians' Preferences for Asthma Guidelines Implementation.
10.4168/aair.2010.2.4.247
- Author:
Min Koo KANG
1
;
Byung Keun KIM
;
Tae Wan KIM
;
Sae Hoon KIM
;
Hye Ryun KANG
;
Heung Woo PARK
;
Yoon Seok CHANG
;
Sun Sin KIM
;
Kyung Up MIN
;
You Young KIM
;
Sang Heon CHO
Author Information
1. Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea. shcho@plaza.snu.ac.kr
- Publication Type:Practice Guideline ; Original Article
- Keywords:
Asthma;
practice guideline;
physician's practice patterns
- MeSH:
Asthma;
Consensus;
Surveys and Questionnaires;
Education, Medical, Continuing;
Electronic Health Records;
Electronic Mail;
Female;
Humans;
Korea;
Learning;
Patient Care;
Physician's Practice Patterns;
Physicians, Primary Care;
Plastics;
Surveys and Questionnaires
- From:Allergy, Asthma & Immunology Research
2010;2(4):247-253
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Patient care based on asthma guidelines is cost-effective and leads to improved treatment outcomes. However, ineffective implementation strategies interfere with the use of these recommendations in clinical practice. This study investigated physicians' preferences for asthma guidelines, including content, supporting evidence, learning strategies, format, and placement in the clinical workplace. METHODS: We obtained information through a questionnaire survey. The questionnaire was distributed to physicians attending continuing medical education courses and sent to other physicians by airmail, e-mail, and facsimile. RESULTS: A total of 183 physicians responded (male to female ratio, 2.3:1; mean age, 40.4+/-9.9 years); 89.9% of respondents were internists or pediatricians, and 51.7% were primary care physicians. Physicians preferred information that described asthma medications, classified the disease according to severity and level of control, and provided methods of evaluation/treatment/monitoring and management of acute exacerbation. The most effective strategies for encouraging the use of the guidelines were through continuing medical education and discussions with colleagues. Physicians required supporting evidence in the form of randomized controlled trials and expert consensus. They preferred that the guidelines be presented as algorithms or flow charts/flow diagrams on plastic sheets, pocket cards, or in electronic medical records. CONCLUSIONS: This study identified the items of the asthma guidelines preferred by physicians in Korea. Asthma guidelines with physicians' preferences would encourage their implementation in clinical practice.
