Organisation of asthma care in primary health care in Mid-Sweden
2005 (English)In: Primary Care Respiratory Journal, ISSN 1475-1534, Vol. 14, no 3, 147-153 p.Article in journal (Refereed) Published
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
2005. Vol. 14, no 3, 147-153 p.
Asthma, Primary health care, Quality of health care, Asthma clinic, Spirometer
Public Health, Global Health, Social Medicine and Epidemiology
IdentifiersURN: urn:nbn:se:uu:diva-97620DOI: 10.1016/j.pcrj.2005.03.003PubMedID: 16701714OAI: oai:DiVA.org:uu-97620DiVA: diva2:172637