ABSTRACT
OBJETIVO: Describir la situación actual con respecto a la dotación de recursos básicos para el manejo del asma en los centros de atención primaria (AP). DISEÑO: Estudio transversal, encuesta cuantitativa ad hoc. EMPLAZAMIENTO Y PARTICIPANTES: trescientos ochenta médicos de AP en España. INTERVENCIONES Y MEDICIONES PRINCIPALES: Análisis de las percepciones de manejo y uso de recursos materiales, humanos y organizativos básicos de los que deberían estar dotados los centros de AP para garantizar una correcta asistencia clínica a los pacientes con asma. RESULTADOS: Los encuestados afirman no disponer de profesional médico o de enfermería referente en enfermedad respiratoria en su centro, en un 64% y un 62% respectivamente. El 92% dispone de espirómetro, el 70% de medidor de pico flujo y el 93% de dispositivos inhaladores placebo. Han recibido en el último año formación teórico-práctica específica promovida por el centro (46%) y por terceros (83%). Se dispone de material educativo para pacientes (78%). No existe protocolo asistencial específico (36%). El 43% no dispone de protocolo de derivación. Se utiliza entrevista clínica para el seguimiento del paciente (90%), pero no cuestionarios validados para medir la adherencia terapéutica (85%), ni checklist para verificar la técnica de inhalación (83%). Se observan diferencias en variables relevantes en el análisis por comunidades autónomas (CC. AA.). CONCLUSIONES: El acceso a determinados recursos en la atención al paciente con asma es limitado en aspectos de coordinación entre niveles, variable según CC. AA. y mejorable en la mayoría de los recursos de salud en asma
OBJECTIVE: The objective of this study was to describe the current provision of basic resources for asthma management in Primary Health Care (PHC). DESIGN: Cross-sectional study, with an ad hoc quantitative survey. LOCATION AND PARTICIPANTS: A total of 380 primary healthcare physicians in Spain. INTERVENTIONS AND MAIN MEASUREMENTS: Analysis of perceptions of management and use of basic human, organisational and material resources to ensure appropriate care provision to asthma patients. RESULTS: Survey respondents stated that their centre did not have a consultant doctor (64%) or nurse (62%) in respiratory disease. Almost all (92%) of the centres have spirometers, of which 70% have peak flow meters, and 93% have placebo inhalers. In the last year, respondents have received specific theoretical/practical training from the centre (46%), and by third parties (83%). More than three-quarters (78%) of the centres has educational material available for patients. There is no specific healthcare protocol in 36% of the centres, and 43% had no referral protocol. A clinical interview is conducted to monitor the patient (90%), but there are no validated questionnaires to measure therapeutic adherence (85%), or a checklist to check inhalation technique (83%). Differences are observed in the relevant variables in the analysis of each Spanish Autonomous Community. CONCLUSIONS: Access to certain resources in the care of patients with asthma is limited in aspects of coordination between levels, varied according to Spanish Autonomous Community, and improved in most health resources in Asthma
Subject(s)
Humans , Health Services Accessibility , Health Care Surveys , Health Resources/statistics & numerical data , Primary Health Care , Asthma/therapy , Cross-Sectional StudiesABSTRACT
OBJECTIVE: The objective of this study was to describe the current provision of basic resources for asthma management in Primary Health Care (PHC). DESIGN: Cross-sectional study, with an ad hoc quantitative survey. LOCATION AND PARTICIPANTS: A total of 380 primary healthcare physicians in Spain. INTERVENTIONS AND MAIN MEASUREMENTS: Analysis of perceptions of management and use of basic human, organisational and material resources to ensure appropriate care provision to asthma patients. RESULTS: Survey respondents stated that their centre did not have a consultant doctor (64%) or nurse (62%) in respiratory disease. Almost all (92%) of the centres have spirometers, of which 70% have peak flow meters, and 93% have placebo inhalers. In the last year, respondents have received specific theoretical/practical training from the centre (46%), and by third parties (83%). More than three-quarters (78%) of the centres has educational material available for patients. There is no specific healthcare protocol in 36% of the centres, and 43% had no referral protocol. A clinical interview is conducted to monitor the patient (90%), but there are no validated questionnaires to measure therapeutic adherence (85%), or a checklist to check inhalation technique (83%). Differences are observed in the relevant variables in the analysis of each Spanish Autonomous Community. CONCLUSIONS: Access to certain resources in the care of patients with asthma is limited in aspects of coordination between levels, varied according to Spanish Autonomous Community, and improved in most health resources in Asthma.
