Modification of provider behavior to achieve improved asthma outcomes英文电子书.pdf

Modification of Provider Behavior to Achieve Improved Asthma Outcomes Erika M. Jones, RN, BSN, and Jay M. Portnoy, MD Address Despite an abundance of scientific evidence support- Section of Allergy, Asthma Immunology, Childrens Mercy Hospital, ing the use of practice guidelines [3••], adherence to 2401 Gillham Road, Kansas City, MO 64108, USA. asthma guidelines by physicians generally is low, regard- E-mail: emjones@cmh.edu less of provider and patient characteristics [4•,5,6]. For Current Allergy and Asthma Reports 2003, 3:484–490 example, several studies suggest that the prescription rate Current Science Inc. ISSN 1529-7322 Copyright © 2003 by Current Science Inc. for inhaled corticosteroids in patients for whom they are indicated is only 34% to 56% [7]. A significant propor- tion of patients with asthma received no prescription Despite an abundance of scientific evidence supporting the drug therapy for their disease. Less than 33% of asthmatic use of guidelines, adherence to asthma practice guidelines patients received any anti-inflammatory therapy, and by physicians generally is low, regardless of provider and most of these received one or two prescriptions per year. patient characteristics. As a result, scientific information, Because specialist ph