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dc.contributor.authorDu Plessis, Jesslee M.
dc.contributor.authorGerber, Jan J.
dc.contributor.authorBrand, Linda
dc.date.accessioned2015-08-17T12:18:35Z
dc.date.available2015-08-17T12:18:35Z
dc.date.issued2013
dc.identifier.citationDu Plessis, J.M. et al. 2013. Managing asthma in primary care through imperative outcomes. Journal of evaluation in clinical practice, 19:235-242. [https://doi.org/10.1111/j.1365-2753.2011.01803.x]en_US
dc.identifier.issn1365-2753
dc.identifier.urihttp://hdl.handle.net/10394/14256
dc.identifier.urihttps://doi.org/10.1111/j.1365-2753.2011.01803.x
dc.identifier.urihttps://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2753.2011.01803.x
dc.description.abstractRationale, aims and objectives To evaluate asthma management and control in primary care clinics so as to design improvements based on guideline-directed outcomes. Methods In this study, all medical records of asthma-diagnosed patients (children as well as adults, entire lifespan, asthma-related visits or not) were retrospectively reviewed as a basis for assessing the level of guideline adherence and asthma control. Six primary health care clinics were visited in the Dr Kenneth Kaunda Municipal District, Potchefstroom, South Africa during May to July 2008, 2009 and 2010. Results A total of 323 asthma patient records were reviewed over the three time slots, resulting in 125, 87, and 111 patients respectively. A suboptimal clinical asthma control picture, with a mere 16% (n = 20) of females and 2% (n = 3) of males with Peak Expiratory Flow (PEF) percentages above 60%, were observed in the initial assessment. Improvement in control was observed during the following time slot, but with an end result in 2010 of no PEF percentages above 60% for males and only 9% (n = 7) for females. Conclusion Over all three of the data collection periods adherence to effectively applied management of asthma guidelines proved to be below the minimum recommended clinical evaluation work-up as set out by the Expert Panel Report 3 (EPR3) of the National Asthma Education and Prevention Program (NAEPP). Applying a greater focus on essential outcomes through different disease management documents resulted in an improved quality of managed care, but still requires dedicated and continuous education and motivation. (NWU-0052-08-A5)en_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.subjectAsthmaen_US
dc.subjectPrimary health careen_US
dc.subjectDocumentationen_US
dc.titleManaging asthma in primary care through imperative outcomesen_US
dc.typeArticleen_US
dc.contributor.researchID20984634 - Du Plessis, Jesslee Melinda
dc.contributor.researchID10056696 - Gerber, Jan Jakobus
dc.contributor.researchID10066357 - Brand, Linda


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