Free Content Asthma – A Problem of Health Care Delivery: Is it Time for a New Paradigm?

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Asthma is common, results in extensive morbidity and occasional mortality, and is associated with highly variable outcome. A major factor influencing outcome relates to physician decision making. Subspecialty directed asthma management has been demonstrated to favorably influence outcome of asthma to a greater extent than any other variable in care. National guidelines appear to have had little impact on primary care of asthma despite their widespread distribution. As a substitute for those extremely comprehensive and extensive guidelines, a small number of measures can be identified that are both realistically applicable in the primary care setting while having the greatest impact on outcome. These low intensity high yield measures, if applied, can substantially reduce emergency care requirements and hospitalizations. Patients not responding adequately to those measures should be identified early and referred to subspecialists for subsequent ongoing management.

Document Type: Commentary


Publication date: January 1, 1999

More about this publication?
  • Allergy and Asthma Proceedings is a peer reviewed publication dedicated to distributing timely scientific research regarding advancements in the knowledge and practice of allergy, asthma and immunology. Its primary readership consists of allergists and pulmonologists.

    The goal of the Proceedings is to publish articles with a predominantly clinical focus which directly impact quality of care for patients with allergic disease and asthma.

    Featured topics include asthma, rhinitis, sinusitis, food allergies, allergic skin diseases, diagnostic techniques, allergens, and treatment modalities. Published material includes peer-reviewed original research, clinical trials and review articles.

    Articles marked "F" offer free full text for personal noncommercial use only.

    The journal is indexed in Thomson Reuters Web of Science and Science Citation Index Expanded, plus the National Library of Medicine's PubMed service.
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