Consultation performance of general practitioners when supported by an asthma/COPDC-service
General practitioners (GPs) can refer patients to an asthma/COPD service (AC-service) for diagnostic assessment of spirometry and medical history and for asthma or COPD monitoring. The AC-service reports diagnostic results and additional information about disease burden (BORG-score for complaints, M...
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| Published in | BMC research notes Vol. 5; no. 1; p. 368 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
BioMed Central Ltd
23.07.2012
BioMed Central BMC |
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| Abstract | General practitioners (GPs) can refer patients to an asthma/COPD service (AC-service) for diagnostic assessment of spirometry and medical history and for asthma or COPD monitoring. The AC-service reports diagnostic results and additional information about disease burden (BORG-score for complaints, MRC-dyspnoea score, exacerbation rate), life style, medication and compliance, to the patient's GP. This study explores how GPs use this additional information when discussing the patient's disease burden and how this influences GPs' information and education provision during consultations with asthma/COPD patients.
Patients with (a suspicion of) asthma or COPD were referred to an AC-service and consulted their GPs after they had received a report from the AC-service. Retrospectively patients answered questions about their GPs' performance during these consultations. Performances were compared with performances of the same GPs during consultations without support of the AC-service (usual care), earlier that year.
Of consultations not initiated by an AC-service check-up, 91% focussed on complaints, the initial reason for the consultation. In AC-service supported follow-up consultations, GPs explored disease burden when the (BORG-)score for complaints was high - as reported by the AC-service - even when patients themselves thought it was irrelevant. GPs put significantly less effort in exploring disease burden when the Borg-score was low (BORG 3-4: 69%; BORG1-2: 51%, p = 0,01). GPs mostly ignored MRC-dyspnoea scores: attention to dyspnoea was 18% for MRC-score <3 and 25% for MRC-score ≥3 (p = 0,63). GPs encouraged physical fitness in 13% of patients. Smoking behaviour was discussed with 66% of the actual smokers but only 14% remembered a stop smoking advice. Furthermore, pharmacotherapeutic management education in AC-service supported consultations did not differ from performance in usual care according to patient evaluations.
Other than taking into account the severity of complaints, there was no difference between GPs' performance in AC-service supported and in usual care consultations. AC-service reports are thus not effective by themselves. GPs should be encouraged to use the information better and systematically check all relevant aspects that characterize the disease burden of their patients. |
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| AbstractList | General practitioners (GPs) can refer patients to an asthma/COPD service (AC-service) for diagnostic assessment of spirometry and medical history and for asthma or COPD monitoring. The AC-service reports diagnostic results and additional information about disease burden (BORG-score for complaints, MRC-dyspnoea score, exacerbation rate), life style, medication and compliance, to the patient's GP. This study explores how GPs use this additional information when discussing the patient's disease burden and how this influences GPs' information and education provision during consultations with asthma/COPD patients. Of consultations not initiated by an AC-service check-up, 91% focussed on complaints, the initial reason for the consultation. In AC-service supported follow-up consultations, GPs explored disease burden when the (BORG-)score for complaints was high - as reported by the AC-service - even when patients themselves thought it was irrelevant. GPs put significantly less effort in exploring disease burden when the Borg-score was low (BORG 3-4: 69%; BORG1-2: 51%, p = 0,01). GPs mostly ignored MRC-dyspnoea scores: attention to dyspnoea was 18% for MRC-score <3 and 25% for MRC-score [greater than or equai to]3 (p = 0,63). GPs encouraged physical fitness in 13% of patients. Smoking behaviour was discussed with 66% of the actual smokers but only 14% remembered a stop smoking advice. Furthermore, pharmacotherapeutic management education in AC-service supported consultations did not differ from performance in usual care according to patient evaluations. Other than taking into account the severity of complaints, there was no difference between GPs' performance in AC-service supported and in usual care consultations. AC-service reports are thus not effective by themselves. GPs should be encouraged to use the information better and systematically check all relevant aspects that characterize the disease burden of their patients. Background General practitioners (GPs) can refer patients to an asthma/COPD service (AC-service) for diagnostic assessment of spirometry and medical history and for asthma or COPD monitoring. The AC-service reports diagnostic results and additional information about disease burden (BORG-score for complaints, MRC-dyspnoea score, exacerbation rate), life style, medication and compliance, to the patient's GP. This study explores how GPs use this additional information when discussing the patient's disease burden and how this influences GPs' information and education provision during consultations with asthma/COPD patients. Method Patients with (a suspicion of) asthma or COPD were referred to an AC-service and consulted their GPs after they had received a report from the AC-service. Retrospectively patients answered questions about their GPs' performance during these consultations. Performances were compared with performances of the same GPs during consultations without support of the AC-service (usual care), earlier that year. Results Of consultations not initiated by an AC-service check-up, 91% focussed on complaints, the initial reason for the consultation. In AC-service supported follow-up consultations, GPs explored disease burden when the (BORG-)score for complaints was high - as reported by the AC-service - even when patients themselves thought it was irrelevant. GPs put significantly less effort in exploring disease burden when the Borg-score was low (BORG 3-4: 69%; BORG1-2: 51%, p = 0,01). GPs mostly ignored MRC-dyspnoea scores: attention to dyspnoea was 18% for MRC-score <3 and 25% for MRC-score [greater than or equai to]3 (p = 0,63). GPs encouraged physical fitness in 13% of patients. Smoking behaviour was discussed with 66% of the actual smokers but only 14% remembered a stop smoking advice. Furthermore, pharmacotherapeutic management education in AC-service supported consultations did not differ from performance in usual care according to patient evaluations. Conclusion Other than taking into account the severity of complaints, there was no difference between GPs' performance in AC-service supported and in usual care consultations. AC-service reports are thus not effective by themselves. GPs should be encouraged to use the information better and systematically check all relevant aspects that characterize the disease burden of their patients. Doc number: 368 Abstract Background: General practitioners (GPs) can refer patients to an asthma/COPD service (AC-service) for diagnostic assessment of spirometry and medical history and for asthma or COPD monitoring. The AC-service reports diagnostic results and additional information about disease burden (BORG-score for complaints, MRC-dyspnoea score, exacerbation rate), life style, medication and compliance, to the patient's GP. This study explores how GPs use this additional information when discussing the patient's disease burden and how this influences GPs' information and education provision during consultations with asthma/COPD patients. Method: Patients with (a suspicion of) asthma or COPD were referred to an AC-service and consulted their GPs after they had received a report from the AC-service. Retrospectively patients answered questions about their GPs' performance during these consultations. Performances were compared with performances of the same GPs during consultations without support of the AC-service (usual care), earlier that year. Results: Of consultations not initiated by an AC-service check-up, 91% focussed on complaints, the initial reason for the consultation. In AC-service supported follow-up consultations, GPs explored disease burden when the (BORG-)score for complaints was high - as reported by the AC-service - even when patients themselves thought it was irrelevant. GPs put significantly less effort in exploring disease burden when the Borg-score was low (BORG 3-4: 69%; BORG1-2: 51%, p = 0,01 ). GPs mostly ignored MRC-dyspnoea scores: attention to dyspnoea was 18% for MRC-score <3 and 25% for MRC-score ≥3 (p = 0,63). GPs encouraged physical fitness in 13% of patients. Smoking behaviour was discussed with 66% of the actual smokers but only 14% remembered a stop smoking advice. Furthermore, pharmacotherapeutic management education in AC-service supported consultations did not differ from performance in usual care according to patient evaluations. Conclusion: Other than taking into account the severity of complaints, there was no difference between GPs' performance in AC-service supported and in usual care consultations. AC-service reports are thus not effective by themselves. GPs should be encouraged to use the information better and systematically check all relevant aspects that characterize the disease burden of their patients. Abstract Background General practitioners (GPs) can refer patients to an asthma/COPD service (AC-service) for diagnostic assessment of spirometry and medical history and for asthma or COPD monitoring. The AC-service reports diagnostic results and additional information about disease burden (BORG-score for complaints, MRC-dyspnoea score, exacerbation rate), life style, medication and compliance, to the patient’s GP. This study explores how GPs use this additional information when discussing the patient’s disease burden and how this influences GPs’ information and education provision during consultations with asthma/COPD patients. Method Patients with (a suspicion of) asthma or COPD were referred to an AC-service and consulted their GPs after they had received a report from the AC-service. Retrospectively patients answered questions about their GPs’ performance during these consultations. Performances were compared with performances of the same GPs during consultations without support of the AC-service (usual care), earlier that year. Results Of consultations not initiated by an AC-service check-up, 91% focussed on complaints, the initial reason for the consultation. In AC-service supported follow-up consultations, GPs explored disease burden when the (BORG-)score for complaints was high - as reported by the AC-service - even when patients themselves thought it was irrelevant. GPs put significantly less effort in exploring disease burden when the Borg-score was low (BORG 3–4: 69%; BORG1-2: 51%, p = 0,01 ). GPs mostly ignored MRC-dyspnoea scores: attention to dyspnoea was 18% for MRC-score <3 and 25% for MRC-score ≥3 ( p = 0,63). GPs encouraged physical fitness in 13% of patients. Smoking behaviour was discussed with 66% of the actual smokers but only 14% remembered a stop smoking advice. Furthermore, pharmacotherapeutic management education in AC-service supported consultations did not differ from performance in usual care according to patient evaluations. Conclusion Other than taking into account the severity of complaints, there was no difference between GPs’ performance in AC-service supported and in usual care consultations. AC-service reports are thus not effective by themselves. GPs should be encouraged to use the information better and systematically check all relevant aspects that characterize the disease burden of their patients. BACKGROUNDGeneral practitioners (GPs) can refer patients to an asthma/COPD service (AC-service) for diagnostic assessment of spirometry and medical history and for asthma or COPD monitoring. The AC-service reports diagnostic results and additional information about disease burden (BORG-score for complaints, MRC-dyspnoea score, exacerbation rate), life style, medication and compliance, to the patient's GP. This study explores how GPs use this additional information when discussing the patient's disease burden and how this influences GPs' information and education provision during consultations with asthma/COPD patients. METHODPatients with (a suspicion of) asthma or COPD were referred to an AC-service and consulted their GPs after they had received a report from the AC-service. Retrospectively patients answered questions about their GPs' performance during these consultations. Performances were compared with performances of the same GPs during consultations without support of the AC-service (usual care), earlier that year. RESULTSOf consultations not initiated by an AC-service check-up, 91% focussed on complaints, the initial reason for the consultation. In AC-service supported follow-up consultations, GPs explored disease burden when the (BORG-)score for complaints was high - as reported by the AC-service - even when patients themselves thought it was irrelevant. GPs put significantly less effort in exploring disease burden when the Borg-score was low (BORG 3-4: 69%; BORG1-2: 51%, p = 0,01). GPs mostly ignored MRC-dyspnoea scores: attention to dyspnoea was 18% for MRC-score <3 and 25% for MRC-score ≥3 (p = 0,63). GPs encouraged physical fitness in 13% of patients. Smoking behaviour was discussed with 66% of the actual smokers but only 14% remembered a stop smoking advice. Furthermore, pharmacotherapeutic management education in AC-service supported consultations did not differ from performance in usual care according to patient evaluations. CONCLUSIONOther than taking into account the severity of complaints, there was no difference between GPs' performance in AC-service supported and in usual care consultations. AC-service reports are thus not effective by themselves. GPs should be encouraged to use the information better and systematically check all relevant aspects that characterize the disease burden of their patients. Abstract Background General practitioners (GPs) can refer patients to an asthma/COPD service (AC-service) for diagnostic assessment of spirometry and medical history and for asthma or COPD monitoring. The AC-service reports diagnostic results and additional information about disease burden (BORG-score for complaints, MRC-dyspnoea score, exacerbation rate), life style, medication and compliance, to the patient’s GP. This study explores how GPs use this additional information when discussing the patient’s disease burden and how this influences GPs’ information and education provision during consultations with asthma/COPD patients. Method Patients with (a suspicion of) asthma or COPD were referred to an AC-service and consulted their GPs after they had received a report from the AC-service. Retrospectively patients answered questions about their GPs’ performance during these consultations. Performances were compared with performances of the same GPs during consultations without support of the AC-service (usual care), earlier that year. Results Of consultations not initiated by an AC-service check-up, 91% focussed on complaints, the initial reason for the consultation. In AC-service supported follow-up consultations, GPs explored disease burden when the (BORG-)score for complaints was high - as reported by the AC-service - even when patients themselves thought it was irrelevant. GPs put significantly less effort in exploring disease burden when the Borg-score was low (BORG 3–4: 69%; BORG1-2: 51%, p = 0,01). GPs mostly ignored MRC-dyspnoea scores: attention to dyspnoea was 18% for MRC-score <3 and 25% for MRC-score ≥3 (p = 0,63). GPs encouraged physical fitness in 13% of patients. Smoking behaviour was discussed with 66% of the actual smokers but only 14% remembered a stop smoking advice. Furthermore, pharmacotherapeutic management education in AC-service supported consultations did not differ from performance in usual care according to patient evaluations. Conclusion Other than taking into account the severity of complaints, there was no difference between GPs’ performance in AC-service supported and in usual care consultations. AC-service reports are thus not effective by themselves. GPs should be encouraged to use the information better and systematically check all relevant aspects that characterize the disease burden of their patients. BACKGROUND: General practitioners (GPs) can refer patients to an asthma/COPD service (AC-service) for diagnostic assessment of spirometry and medical history and for asthma or COPD monitoring. The AC-service reports diagnostic results and additional information about disease burden (BORG-score for complaints, MRC-dyspnoea score, exacerbation rate), life style, medication and compliance, to the patient's GP. This study explores how GPs use this additional information when discussing the patient's disease burden and how this influences GPs' information and education provision during consultations with asthma/COPD patients. METHOD: Patients with (a suspicion of) asthma or COPD were referred to an AC-service and consulted their GPs after they had received a report from the AC-service. Retrospectively patients answered questions about their GPs' performance during these consultations. Performances were compared with performances of the same GPs during consultations without support of the AC-service (usual care), earlier that year. RESULTS: Of consultations not initiated by an AC-service check-up, 91% focussed on complaints, the initial reason for the consultation. In AC-service supported follow-up consultations, GPs explored disease burden when the (BORG-)score for complaints was high - as reported by the AC-service - even when patients themselves thought it was irrelevant. GPs put significantly less effort in exploring disease burden when the Borg-score was low (BORG 3-4: 69%; BORG1-2: 51%, p = 0,01). GPs mostly ignored MRC-dyspnoea scores: attention to dyspnoea was 18% for MRC-score <3 and 25% for MRC-score ≥3 (p = 0,63). GPs encouraged physical fitness in 13% of patients. Smoking behaviour was discussed with 66% of the actual smokers but only 14% remembered a stop smoking advice. Furthermore, pharmacotherapeutic management education in AC-service supported consultations did not differ from performance in usual care according to patient evaluations. CONCLUSION: Other than taking into account the severity of complaints, there was no difference between GPs' performance in AC-service supported and in usual care consultations. AC-service reports are thus not effective by themselves. GPs should be encouraged to use the information better and systematically check all relevant aspects that characterize the disease burden of their patients. General practitioners (GPs) can refer patients to an asthma/COPD service (AC-service) for diagnostic assessment of spirometry and medical history and for asthma or COPD monitoring. The AC-service reports diagnostic results and additional information about disease burden (BORG-score for complaints, MRC-dyspnoea score, exacerbation rate), life style, medication and compliance, to the patient's GP. This study explores how GPs use this additional information when discussing the patient's disease burden and how this influences GPs' information and education provision during consultations with asthma/COPD patients. Patients with (a suspicion of) asthma or COPD were referred to an AC-service and consulted their GPs after they had received a report from the AC-service. Retrospectively patients answered questions about their GPs' performance during these consultations. Performances were compared with performances of the same GPs during consultations without support of the AC-service (usual care), earlier that year. Of consultations not initiated by an AC-service check-up, 91% focussed on complaints, the initial reason for the consultation. In AC-service supported follow-up consultations, GPs explored disease burden when the (BORG-)score for complaints was high - as reported by the AC-service - even when patients themselves thought it was irrelevant. GPs put significantly less effort in exploring disease burden when the Borg-score was low (BORG 3-4: 69%; BORG1-2: 51%, p = 0,01). GPs mostly ignored MRC-dyspnoea scores: attention to dyspnoea was 18% for MRC-score <3 and 25% for MRC-score ≥3 (p = 0,63). GPs encouraged physical fitness in 13% of patients. Smoking behaviour was discussed with 66% of the actual smokers but only 14% remembered a stop smoking advice. Furthermore, pharmacotherapeutic management education in AC-service supported consultations did not differ from performance in usual care according to patient evaluations. Other than taking into account the severity of complaints, there was no difference between GPs' performance in AC-service supported and in usual care consultations. AC-service reports are thus not effective by themselves. GPs should be encouraged to use the information better and systematically check all relevant aspects that characterize the disease burden of their patients. |
| ArticleNumber | 368 |
| Audience | Academic |
| Author | Marianne, Meulepas A Ivo, Smeele J M Frank, Smeenk W J M Emmy, Derckx W C C Annelies, Lucas E M Onno, van Schayck P |
| AuthorAffiliation | 4 CAHAG, NHG, Domus Medica, PO box 3231, Utrecht, GE, 3502, The Netherlands 2 Stichting Kwaliteit en Ontwikkeling Huisartsenzorg, PO box 2155, Eindhoven, CD, 5600, The Netherlands 5 Department of Pulmonary Diseases & Tuberculosis,Catharina Hospital, PO box 1350, Eindhoven, ZA, 5602, The Netherlands 1 Department of General Practice (HAG), Research Institute Caphri, University Maastricht, PO box 616, Maastricht, MD, 6200, The Netherlands 3 Meetpunt Kwaliteit, PO box 6406, EINDHOVEN, HK, 5600, The Netherlands |
| AuthorAffiliation_xml | – name: 4 CAHAG, NHG, Domus Medica, PO box 3231, Utrecht, GE, 3502, The Netherlands – name: 1 Department of General Practice (HAG), Research Institute Caphri, University Maastricht, PO box 616, Maastricht, MD, 6200, The Netherlands – name: 5 Department of Pulmonary Diseases & Tuberculosis,Catharina Hospital, PO box 1350, Eindhoven, ZA, 5602, The Netherlands – name: 3 Meetpunt Kwaliteit, PO box 6406, EINDHOVEN, HK, 5600, The Netherlands – name: 2 Stichting Kwaliteit en Ontwikkeling Huisartsenzorg, PO box 2155, Eindhoven, CD, 5600, The Netherlands |
| Author_xml | – sequence: 1 givenname: Lucas E M surname: Annelies fullname: Annelies, Lucas E M email: annelies.lucas@maastrichtuniversity.nl organization: Department of General Practice (HAG), Research Institute Caphri, University Maastricht, PO box 616, Maastricht, MD, 6200, The Netherlands. annelies.lucas@maastrichtuniversity.nl – sequence: 2 givenname: Derckx W C C surname: Emmy fullname: Emmy, Derckx W C C – sequence: 3 givenname: Meulepas A surname: Marianne fullname: Marianne, Meulepas A – sequence: 4 givenname: Smeele J M surname: Ivo fullname: Ivo, Smeele J M – sequence: 5 givenname: Smeenk W J M surname: Frank fullname: Frank, Smeenk W J M – sequence: 6 givenname: van Schayck P surname: Onno fullname: Onno, van Schayck P |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/22824247$$D View this record in MEDLINE/PubMed |
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| ContentType | Journal Article |
| Copyright | COPYRIGHT 2012 BioMed Central Ltd. 2012 Lucas AEM et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright ©2012 Lucas AEM et al.; licensee BioMed Central Ltd. 2012 Lucas AEM et al.; licensee BioMed Central Ltd. |
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| References_xml | – volume: 106 start-page: 1158 issue: 8 year: 2011 ident: 1559_CR13 publication-title: Respir Med doi: 10.1016/j.rmed.2012.03.002 contributor: fullname: AEM Lucas – volume: 20 start-page: 819 issue: 5–6 year: 2011 ident: 1559_CR21 publication-title: J Clin Nurs doi: 10.1111/j.1365-2702.2010.03319.x contributor: fullname: S Wilson – volume: 3 start-page: 443 year: 2008 ident: 1559_CR22 publication-title: Int J Chron Obstruct Pulmon Dis doi: 10.2147/COPD.S2588 contributor: fullname: C van Wetering – volume: 103 start-page: 1004 issue: 12 year: 2009 ident: 1559_CR19 publication-title: Resp Med doi: 10.1016/j.rmed.2009.01.018 contributor: fullname: P Hernandes – volume: 55 start-page: 121 issue: 1 year: 2004 ident: 1559_CR24 publication-title: Patient Educ Couns doi: 10.1016/j.pec.2003.08.007 contributor: fullname: A Hesselink – volume: 48 start-page: 266 issue: 3 year: 2011 ident: 1559_CR23 publication-title: J Asthma doi: 10.3109/02770903.2011.555040 contributor: fullname: F Braido – volume: 57 start-page: 65 issue: 1 year: 2002 ident: 1559_CR11 publication-title: Monaldi Arch Chest Dis contributor: fullname: C van Weel – volume: 9 start-page: 52 issue: 1 year: 2009 ident: 1559_CR3 publication-title: BMC Pulmonary Medicine doi: 10.1186/1471-2466-9-52 contributor: fullname: J Trappenburg – volume: 24 start-page: 147 issue: 1 year: 2010 ident: 1559_CR26 publication-title: Scand J Caring Sci doi: 10.1111/j.1471-6712.2009.00698.x contributor: fullname: AB Zakrisson – volume: 191 start-page: 249 issue: 5 year: 2009 ident: 1559_CR17 publication-title: Med J Aust doi: 10.5694/j.1326-5377.2009.tb02777.x contributor: fullname: L van den Bemt – volume: 15 start-page: 337 issue: 6 year: 2006 ident: 1559_CR16 publication-title: Prim Care Respir J doi: 10.1016/j.pcrj.2006.08.010 contributor: fullname: MA Meulepas – volume: 57 start-page: 892 issue: 544 year: 2007 ident: 1559_CR8 publication-title: Br J Gen Pract doi: 10.3399/096016407782317883 contributor: fullname: A Lucas – volume: 25 start-page: 86 issue: 2 year: 2008 ident: 1559_CR14 publication-title: Fam Pract doi: 10.1093/fampra/cmn006 contributor: fullname: AE Lucas – volume-title: Zorgstandaard COPD (Dutch standard for COPD Management and Care) year: 2010 ident: 1559_CR5 contributor: fullname: LAN, Long Alliantie Nederland – volume: 19 start-page: 298 issue: 4 year: 2010 ident: 1559_CR18 publication-title: Quality and Safety in Health Care doi: 10.1136/qshc.2008.027763 contributor: fullname: B McKinstry – volume-title: short titles and Dutch subtitles year: 1995 ident: 1559_CR15 contributor: fullname: International Classification of Primary Care – volume: 55 start-page: 562 issue: 7 year: 2000 ident: 1559_CR10 publication-title: The DIMCA project. Thorax doi: 10.1136/thorax.55.7.562 contributor: fullname: CP van Schayck – volume: 12 start-page: CD005074 issue: 5 year: 2010 ident: 1559_CR4 publication-title: Cochrane Database Syst Rev contributor: fullname: JAE Walters – volume: 188 start-page: s50 issue: 8 suppl year: 2008 ident: 1559_CR7 publication-title: Med J Aust contributor: fullname: JM Cranston – volume: 106 start-page: 1158 year: 2012 ident: 1559_CR12 publication-title: Respir. Med doi: 10.1016/j.rmed.2012.03.002 contributor: fullname: AEM Lucas – volume: 52 start-page: 259 issue: 3 year: 2004 ident: 1559_CR1 publication-title: Patient education and counselig doi: 10.1016/S0738-3991(03)00100-9 contributor: fullname: F Gallefoss – volume: 11 start-page: 87 issue: 1 year: 2010 ident: 1559_CR6 publication-title: BMC Fam Pract doi: 10.1186/1471-2296-11-87 contributor: fullname: J Noordman – volume: 33 start-page: 461 issue: 3 year: 2009 ident: 1559_CR2 publication-title: Eur Resp J doi: 10.1183/09031936.00001309 contributor: fullname: J Bourbeau – volume: 18 start-page: 177 issue: 3 year: 2009 ident: 1559_CR9 publication-title: Prim Care Resp J doi: 10.3132/pcrj.2009.00002 contributor: fullname: AEM Lucas – volume: 25 start-page: 186 issue: 3 year: 2007 ident: 1559_CR25 publication-title: Scand J Prim Health Care doi: 10.1080/02813430701573943 contributor: fullname: MA Meulepas – volume: 193 start-page: 104 issue: 2 year: 2010 ident: 1559_CR20 publication-title: Med J Aust doi: 10.5694/j.1326-5377.2010.tb03817.x contributor: fullname: M Abramson |
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| Snippet | General practitioners (GPs) can refer patients to an asthma/COPD service (AC-service) for diagnostic assessment of spirometry and medical history and for... Abstract Background General practitioners (GPs) can refer patients to an asthma/COPD service (AC-service) for diagnostic assessment of spirometry and medical... Background General practitioners (GPs) can refer patients to an asthma/COPD service (AC-service) for diagnostic assessment of spirometry and medical history... Doc number: 368 Abstract Background: General practitioners (GPs) can refer patients to an asthma/COPD service (AC-service) for diagnostic assessment of... BACKGROUNDGeneral practitioners (GPs) can refer patients to an asthma/COPD service (AC-service) for diagnostic assessment of spirometry and medical history and... BACKGROUND: General practitioners (GPs) can refer patients to an asthma/COPD service (AC-service) for diagnostic assessment of spirometry and medical history... Abstract Background General practitioners (GPs) can refer patients to an asthma/COPD service (AC-service) for diagnostic assessment of spirometry and medical... |
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| SubjectTerms | Asthma Asthma - diagnosis Asthma - drug therapy Asthmatics Care and treatment Disease Family medical history Female General Practitioners Health Planning Guidelines Health Services Hospitals Humans Life Style Lifestyles Male Medical research Medicine, Experimental Middle Aged Physicians (General practice) Primary care Pulmonary Disease, Chronic Obstructive - diagnosis Pulmonary Disease, Chronic Obstructive - drug therapy Referral and Consultation |
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| Title | Consultation performance of general practitioners when supported by an asthma/COPDC-service |
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