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Asthma referrals: a key component of asthma management that needs to be addressed
Heterogeneity of asthma and difficulty in achieving optimal control are the major challenges in the management of asthma. To help attain the best possible clinical outcomes in patients with asthma, several guidelines provide recommendations for patients who will require a referral to a specialist. S...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5536139/ https://www.ncbi.nlm.nih.gov/pubmed/28794645 http://dx.doi.org/10.2147/JAA.S134300 |
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author | Price, David Bjermer, Leif Bergin, David A Martinez, Rafael |
author_facet | Price, David Bjermer, Leif Bergin, David A Martinez, Rafael |
author_sort | Price, David |
collection | PubMed |
description | Heterogeneity of asthma and difficulty in achieving optimal control are the major challenges in the management of asthma. To help attain the best possible clinical outcomes in patients with asthma, several guidelines provide recommendations for patients who will require a referral to a specialist. Such referrals can help in clearing the uncertainty from the initial diagnosis, provide tailored treatment options to patients with persistent symptoms and offer the patients access to health care providers with expertise in the management of the asthma; thus, specialist referrals have a substantial impact on disease prognosis and the patient’s health status. Hurdles in implementing these recommendations include lack of their dissemination among health care providers and nonadherence to these guidelines; these hurdles considerably limit the implementation of specialist referrals, eventually affecting the rate of referrals. In this review, recommendations for specialist referrals from several key international and national asthma guidelines and other relevant published literature are evaluated. Furthermore, we highlight why referrals are not happening, how this can be improved, and ultimately, what should be done in the specialist setting, based on existing evidence in published literature. |
format | Online Article Text |
id | pubmed-5536139 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-55361392017-08-09 Asthma referrals: a key component of asthma management that needs to be addressed Price, David Bjermer, Leif Bergin, David A Martinez, Rafael J Asthma Allergy Review Heterogeneity of asthma and difficulty in achieving optimal control are the major challenges in the management of asthma. To help attain the best possible clinical outcomes in patients with asthma, several guidelines provide recommendations for patients who will require a referral to a specialist. Such referrals can help in clearing the uncertainty from the initial diagnosis, provide tailored treatment options to patients with persistent symptoms and offer the patients access to health care providers with expertise in the management of the asthma; thus, specialist referrals have a substantial impact on disease prognosis and the patient’s health status. Hurdles in implementing these recommendations include lack of their dissemination among health care providers and nonadherence to these guidelines; these hurdles considerably limit the implementation of specialist referrals, eventually affecting the rate of referrals. In this review, recommendations for specialist referrals from several key international and national asthma guidelines and other relevant published literature are evaluated. Furthermore, we highlight why referrals are not happening, how this can be improved, and ultimately, what should be done in the specialist setting, based on existing evidence in published literature. Dove Medical Press 2017-07-25 /pmc/articles/PMC5536139/ /pubmed/28794645 http://dx.doi.org/10.2147/JAA.S134300 Text en © 2017 Price et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Review Price, David Bjermer, Leif Bergin, David A Martinez, Rafael Asthma referrals: a key component of asthma management that needs to be addressed |
title | Asthma referrals: a key component of asthma management that needs to be addressed |
title_full | Asthma referrals: a key component of asthma management that needs to be addressed |
title_fullStr | Asthma referrals: a key component of asthma management that needs to be addressed |
title_full_unstemmed | Asthma referrals: a key component of asthma management that needs to be addressed |
title_short | Asthma referrals: a key component of asthma management that needs to be addressed |
title_sort | asthma referrals: a key component of asthma management that needs to be addressed |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5536139/ https://www.ncbi.nlm.nih.gov/pubmed/28794645 http://dx.doi.org/10.2147/JAA.S134300 |
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