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Asthma care and factors affecting medication compliance: the patient's point of view
Linköping University, Department of Department of Health and Society, General Practice. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medicine and Care, Pulmonary Medicine. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Neuroscience and Locomotion. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences, Clinical Pharmacology. Linköping University, Faculty of Health Sciences.
2001 (English)In: International Journal for Quality in Health Care, ISSN 1353-4505, E-ISSN 1464-3677, Vol. 13, no 5, 375-383 p.Article in journal (Refereed) Published
Abstract [en]

Objective. To identify important factors that can influence patient compliance with prescribed medication and to elucidate aspects of asthma care from the patient's point of view.

Design. Field investigation; the interviewer used a semi‐structured questionnaire.

Setting. Patients with asthma in primary health care settings in Sweden.

Study participants. A sample of 77 patients was randomly selected from 11 primary health care centres in southern Sweden; 63 of these patients participated in the study.

Conclusion. The factors of importance for self‐reported compliance with prescribed medication were age, gender, duration of the disease, the attitude of the staff and information/education about asthma. The patients expressed important aspects of care, and these are in accordance with how an asthma nurse practice functions in Sweden.

Place, publisher, year, edition, pages
2001. Vol. 13, no 5, 375-383 p.
Keyword [en]
asthma, compliance, interview, patient opinions
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-49116DOI: 10.1093/intqhc/13.5.375OAI: oai:DiVA.org:liu-49116DiVA: diva2:270012
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2017-12-12Bibliographically approved
In thesis
1. Asthma nurse practice in primary health care: quality, costs and outcome
Open this publication in new window or tab >>Asthma nurse practice in primary health care: quality, costs and outcome
2001 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The primary aim of the present work was to document and analyse whether it is beneficial to patients and to the health care sector to organise asthma care in primary health care is  the form of asthma nurse practices (ANPs). During the past decade ANPs have been established in primary health care in the county of Östergatland, Sweden. The prevalence of asthma is increasing in the industrialised world, and this focuses attention on the efficacy and quality of asthma care.

The methods, data collection and measurements that were used can be summarised as follows. The studies included: (i) a prospective intervention study (ANP concept) with pre- and post- test comparisons, objective measurements and patient questionnaires; (ii) further development of a patient questionnaire, validation of items by structured followHup telephone interviews using predetermined criteria; (iii) comparison of quality and cost in two different approaches to providing asthma care within primary health care, traditional care and care given at a primary health care centre with an ANP, by combining a retrospective review of documentation in patient records using a special form and a prospective approach using a patient questionnaire; (iv) semi-structured interviews with asthma patients to obtain their view of asthma care and clarify factors of importance for compliance with prescribed medication.

The evaluation demonstrated that on the group level, primary health care centres with ANPs resulted in better disease control, fewer asthma symptoms, and better patient experienced knowledge and self-management outcomes. The results also showed fewer emergency visits, better documentation of asthma management and better asthma quality outcomes. It was also found that health care costs were lower with the ANP than with traditional asthma care in primary health care. The patients expressed important aspects of the care as the need for security, including regular asthma check-ups, easy access to care, continuity in the care, competence ofthe health care staff, and information and knowledge about asthma. Increasing age, female gender, long duration of the disease, the attitude of the staff, and whether patients felt they had obtained information and education about asthma were all factors of importance for compliance with prescribed medication.

The main conclusion of the thesis was that the ANP concept seems to improve asthma care in primary health care and resulted in economic advantages for the health care sector.

Place, publisher, year, edition, pages
Linköping: Linköpings universitet, 2001. 69 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 695
Keyword
asthma, asthma care, primary health care, family practice, nursing, quality, costs, consensus programs, guidelines
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-27512 (URN)12168 (Local ID)91-7219-989-X (ISBN)12168 (Archive number)12168 (OAI)
Public defence
2001-11-09, Administrationsbyggnadens aula, Universitetssjukhuset, Linköping, 09:00 (Swedish)
Opponent
Available from: 2009-10-08 Created: 2009-10-08 Last updated: 2012-11-09Bibliographically approved

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Lindberg, MalouAhlner, Johan

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