Physicians' assessment of asthma control in low vs. high asthma-related morbidity regions

J Asthma. 2004;41(8):813-24. doi: 10.1081/jas-200038426.

Abstract

Objectives: To analyze physician-assessed asthma control and care compared with current guidelines criteria, in a cohort of patients from a high (HMR) vs. low asthma-related morbidity region (LMR), as determined by a large-scale populational survey (asthma cartography).

Design: Analysis of questionnaires provided by 47 primary care physicians and asthmatic patients (HMR: 74; LMR: 73).

Results: Asthma control was often suboptimal in both regions. In both regions, asthma control, the pattern of prescriptions for asthma, patient compliance, and referral for asthma education were similar; 32% of patients had been referred for asthma education, whereas 65% wanted to know more about their asthma.

Conclusions: Results of regional/local cohort studies differ from those of a "population cartography," the former probably more likely reflecting individual medical practices of physicians interested in taking part in such studies.

MeSH terms

  • Adult
  • Anti-Asthmatic Agents / therapeutic use
  • Asthma / drug therapy*
  • Asthma / epidemiology*
  • Cohort Studies
  • Drug Utilization
  • Family Practice*
  • Female
  • Guideline Adherence
  • Health Services / statistics & numerical data
  • Humans
  • Male
  • Metered Dose Inhalers / statistics & numerical data
  • Outcome Assessment, Health Care*
  • Outpatients
  • Patient Compliance
  • Patient Education as Topic
  • Practice Patterns, Physicians'*
  • Quebec / epidemiology

Substances

  • Anti-Asthmatic Agents