Management of the Bronchial Asthma Patients at Practice of Family Doctors

Yuriy Mostovoy; Anna Demchuk; Tetyana Konstantynovych

doi:doi:10.11648/j.ajim.20200801.19

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Management of the Bronchial Asthma Patients at Practice of Family Doctors

Yuriy Mostovoy, Anna Demchuk, Tetyana Konstantynovych

Published in American Journal of Internal Medicine (Volume 8, Issue 1)

Received: 9 February 2020 Accepted: 18 February 2020 Published: 28 February 2020

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Abstract

With purpose to assess the primary care for bronchial asthma (BA) patients the anonymous survey of 175 family doctors was performed. We established low percent (2,9%) of self-depended diagnosis of BA by family doctors. It showed their extremely poor role in the primary BA diagnosis. The most frequently diagnosis of BA made by pulmonologist or allergist (75,4%). The management of a patient with BA was performed by a family doctor in collaboration with allergist or pulmonologist in 53,2% of cases, 70% family doctors meet with BA patients for control of disease every 1-3 month. They prescribed correct basis therapy with inhaled corticosteroid (ICS) or combination of ICS with long-action beta agonist most of patients. Misinterpretation of asthma control are showed by most of family doctors. The vast majority of patients (98.8%) had at least one exacerbation of asthma per year. Only 25% of family doctors treated patients with BA exacerbation self-dependently. They used nebulization of high doses of bronchodilators and ICS for treatment of BA exacerbation in outpatient setting for 91,4% of cases. We found low level of prescriptions of systemic corticosteroids for treatment of BA exacerbations in outpatient setting and misunderstanding of systemic corticosteroid therapy. Family doctors need additional educational activities and monitoring adherence to national and international guidelines.

Published in	American Journal of Internal Medicine (Volume 8, Issue 1) This article belongs to the Special Issue New Approaches to Manage Difficult-to-Control, Severe Asthma
DOI	10.11648/j.ajim.20200801.19
Page(s)	45-50
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Bronchial Asthma, Primary Care, Treatment, Asthma Control, Exacerbation

References

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APA Style

Yuriy Mostovoy, Anna Demchuk, Tetyana Konstantynovych. (2020). Management of the Bronchial Asthma Patients at Practice of Family Doctors. American Journal of Internal Medicine, 8(1), 45-50. https://doi.org/10.11648/j.ajim.20200801.19

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ACS Style

Yuriy Mostovoy; Anna Demchuk; Tetyana Konstantynovych. Management of the Bronchial Asthma Patients at Practice of Family Doctors. Am. J. Intern. Med. 2020, 8(1), 45-50. doi: 10.11648/j.ajim.20200801.19

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AMA Style

Yuriy Mostovoy, Anna Demchuk, Tetyana Konstantynovych. Management of the Bronchial Asthma Patients at Practice of Family Doctors. Am J Intern Med. 2020;8(1):45-50. doi: 10.11648/j.ajim.20200801.19

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@article{10.11648/j.ajim.20200801.19,
  author = {Yuriy Mostovoy and Anna Demchuk and Tetyana Konstantynovych},
  title = {Management of the Bronchial Asthma Patients at Practice of Family Doctors},
  journal = {American Journal of Internal Medicine},
  volume = {8},
  number = {1},
  pages = {45-50},
  doi = {10.11648/j.ajim.20200801.19},
  url = {https://doi.org/10.11648/j.ajim.20200801.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20200801.19},
  abstract = {With purpose to assess the primary care for bronchial asthma (BA) patients the anonymous survey of 175 family doctors was performed. We established low percent (2,9%) of self-depended diagnosis of BA by family doctors. It showed their extremely poor role in the primary BA diagnosis. The most frequently diagnosis of BA made by pulmonologist or allergist (75,4%). The management of a patient with BA was performed by a family doctor in collaboration with allergist or pulmonologist in 53,2% of cases, 70% family doctors meet with BA patients for control of disease every 1-3 month. They prescribed correct basis therapy with inhaled corticosteroid (ICS) or combination of ICS with long-action beta agonist most of patients. Misinterpretation of asthma control are showed by most of family doctors. The vast majority of patients (98.8%) had at least one exacerbation of asthma per year. Only 25% of family doctors treated patients with BA exacerbation self-dependently. They used nebulization of high doses of bronchodilators and ICS for treatment of BA exacerbation in outpatient setting for 91,4% of cases. We found low level of prescriptions of systemic corticosteroids for treatment of BA exacerbations in outpatient setting and misunderstanding of systemic corticosteroid therapy. Family doctors need additional educational activities and monitoring adherence to national and international guidelines.},
 year = {2020}
}

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TY - JOUR
T1 - Management of the Bronchial Asthma Patients at Practice of Family Doctors
AU - Yuriy Mostovoy
AU - Anna Demchuk
AU - Tetyana Konstantynovych
Y1 - 2020/02/28
PY - 2020
N1 - https://doi.org/10.11648/j.ajim.20200801.19
DO - 10.11648/j.ajim.20200801.19
T2 - American Journal of Internal Medicine
JF - American Journal of Internal Medicine
JO - American Journal of Internal Medicine
SP - 45
EP - 50
PB - Science Publishing Group
SN - 2330-4324
UR - https://doi.org/10.11648/j.ajim.20200801.19
AB - With purpose to assess the primary care for bronchial asthma (BA) patients the anonymous survey of 175 family doctors was performed. We established low percent (2,9%) of self-depended diagnosis of BA by family doctors. It showed their extremely poor role in the primary BA diagnosis. The most frequently diagnosis of BA made by pulmonologist or allergist (75,4%). The management of a patient with BA was performed by a family doctor in collaboration with allergist or pulmonologist in 53,2% of cases, 70% family doctors meet with BA patients for control of disease every 1-3 month. They prescribed correct basis therapy with inhaled corticosteroid (ICS) or combination of ICS with long-action beta agonist most of patients. Misinterpretation of asthma control are showed by most of family doctors. The vast majority of patients (98.8%) had at least one exacerbation of asthma per year. Only 25% of family doctors treated patients with BA exacerbation self-dependently. They used nebulization of high doses of bronchodilators and ICS for treatment of BA exacerbation in outpatient setting for 91,4% of cases. We found low level of prescriptions of systemic corticosteroids for treatment of BA exacerbations in outpatient setting and misunderstanding of systemic corticosteroid therapy. Family doctors need additional educational activities and monitoring adherence to national and international guidelines.
VL - 8
IS - 1
ER -

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Author Information

Yuriy Mostovoy

Propedeutic Department to the Internal Medicine, National Pirogov Memorial Medical University, Vinnytsya, Vinnytsia, Ukraine
Anna Demchuk

Propedeutic Department to the Internal Medicine, National Pirogov Memorial Medical University, Vinnytsya, Vinnytsia, Ukraine
Tetyana Konstantynovych

Propedeutic Department to the Internal Medicine, National Pirogov Memorial Medical University, Vinnytsya, Vinnytsia, Ukraine

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APA Style

Yuriy Mostovoy, Anna Demchuk, Tetyana Konstantynovych. (2020). Management of the Bronchial Asthma Patients at Practice of Family Doctors. American Journal of Internal Medicine, 8(1), 45-50. https://doi.org/10.11648/j.ajim.20200801.19

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ACS Style

Yuriy Mostovoy; Anna Demchuk; Tetyana Konstantynovych. Management of the Bronchial Asthma Patients at Practice of Family Doctors. Am. J. Intern. Med. 2020, 8(1), 45-50. doi: 10.11648/j.ajim.20200801.19

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AMA Style

Yuriy Mostovoy, Anna Demchuk, Tetyana Konstantynovych. Management of the Bronchial Asthma Patients at Practice of Family Doctors. Am J Intern Med. 2020;8(1):45-50. doi: 10.11648/j.ajim.20200801.19

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@article{10.11648/j.ajim.20200801.19,
  author = {Yuriy Mostovoy and Anna Demchuk and Tetyana Konstantynovych},
  title = {Management of the Bronchial Asthma Patients at Practice of Family Doctors},
  journal = {American Journal of Internal Medicine},
  volume = {8},
  number = {1},
  pages = {45-50},
  doi = {10.11648/j.ajim.20200801.19},
  url = {https://doi.org/10.11648/j.ajim.20200801.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20200801.19},
  abstract = {With purpose to assess the primary care for bronchial asthma (BA) patients the anonymous survey of 175 family doctors was performed. We established low percent (2,9%) of self-depended diagnosis of BA by family doctors. It showed their extremely poor role in the primary BA diagnosis. The most frequently diagnosis of BA made by pulmonologist or allergist (75,4%). The management of a patient with BA was performed by a family doctor in collaboration with allergist or pulmonologist in 53,2% of cases, 70% family doctors meet with BA patients for control of disease every 1-3 month. They prescribed correct basis therapy with inhaled corticosteroid (ICS) or combination of ICS with long-action beta agonist most of patients. Misinterpretation of asthma control are showed by most of family doctors. The vast majority of patients (98.8%) had at least one exacerbation of asthma per year. Only 25% of family doctors treated patients with BA exacerbation self-dependently. They used nebulization of high doses of bronchodilators and ICS for treatment of BA exacerbation in outpatient setting for 91,4% of cases. We found low level of prescriptions of systemic corticosteroids for treatment of BA exacerbations in outpatient setting and misunderstanding of systemic corticosteroid therapy. Family doctors need additional educational activities and monitoring adherence to national and international guidelines.},
 year = {2020}
}

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