2026-08-29T14:55:27Zhttps://repisalud.isciii.es/rest/oai/request
oai:repisalud.isciii.es:20.500.12105/230172024-11-28T20:36:16Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967
Repisalud author Fletcher, Monica J author Tsiligianni, Ioanna author Kocks, Janwillem WH author Cave, Andrew author Chunhua, Chi author Sousa, Jaime Correia de author Roman-Rodriguez, Miguel author Thomas, Mike author Kardos, Peter author Stonham, Carol author Khoo, Ee Ming author Leather, David author van der Molen, Thys 2024-09-13T09:15:50Z 2024-09-13T09:15:50Z 2020-06-17 Fletcher MJ, Tsiligianni I, Kocks Janwillem WH, Cave A, Chunhua C, Correia de Sousa J, et al. Improving primary care management of asthma: do we know what really works?. NPJ Prim Care Respir Med. 2020 Jun 17;30(1):29. 10.1038/s41533-020-0184-0 2055-1010 NPJ Primary Care Respiratory Medicine http://hdl.handle.net/20.500.13003/10309 32555169 L2005249731 2-s2.0-85086578485 https://hdl.handle.net/20.500.12105/23017 540765900001 Asthma imposes a substantial burden on individuals and societies. Patients with asthma need high-quality primary care management; however, evidence suggests the quality of this care can be highly variable. Here we identify and report factors contributing to high-quality management. Twelve primary care global asthma experts, representing nine countries, identified key factors. A literature review (past 10 years) was performed to validate or refute the expert viewpoint. Key driving factors identified were: policy, clinical guidelines, rewards for performance, practice organisation and workforce. Further analysis established the relevant factor components. Review evidence supported the validity of each driver; however, impact on patient outcomes was uncertain. Single interventions (e.g. healthcare practitioner education) showed little effect; interventions driven by national policy (e.g. incentive schemes and teamworking) were more effective. The panel's opinion, supported by literature review, concluded that multiple primary care interventions offer greater benefit than any single intervention in asthma management. eng Improving primary care management of asthma: do we know what really works? review article