Aims:To focus asthma care on those patients most in need whilst providing annual audit data. Methods:An observational questionnaire study. Patients on the asthma register received a postal invitation to the asthma clinic plus a questionnaire which enquired about both symptoms and the process of care. Medical records were searched for data on non-responders. Results:Of the 1241 people sent the invitation and questionnaire 682 (57%) returned it and 99 attended the clinic. Follow-up of responders with high morbidity resulted in a further 32 people attending. The 99 attenders had a higher morbidity than non-attenders on the criteria of a course of oral steroids in the last six months(15% v 29%)and a mean symptom score of 3 or more ( 12% v 31%). Conclusions:Whilst the process did focus care on those in need, and resulted in a manageable number of people attending the asthma clinic, many individuals with high morbidity or risk factors did not attend.

译文

目的:在提供年度审核数据的同时,将哮喘护理重点放在最需要的患者身上。
方法:一项观察性问卷调查研究。哮喘登记册上的患者收到了哮喘诊所的邮寄邀请,以及一份询问症状和护理过程的问卷。在病历中搜索无应答者的数据。
结果:在1241人中发送了邀请,调查表682张(57%)返回了邀请,其中99人参加了诊所。对高发病率应答者的随访导致另外32人参加。根据最近六个月的口服类固醇疗程(99%对29%)和平均症状评分3分或更高(12%对31%),这99名参加者的发病率高于非参加者。
结论:尽管该过程确实将治疗重点放在了有需要的人群上,并导致哮喘病门诊人数可控,但许多发病率高或有危险因素的人却没有参加。

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