Lundborg C S, Wahlström R, Dall'Alba G
Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Scand J Prim Health Care. 1999 Dec;17(4):226-31. doi: 10.1080/028134399750002458.
To identify and describe variations in ways of experiencing asthma management among general practitioners (GPs) in Sweden.
Descriptive and explorative study using a phenomenographic approach. Semi-structured tape-recorded face-to-face interviews, focusing on the GP's own experiences regarding asthma management.
Primary health care.
Twenty GPs (12 men, eight women) from 16 health centres in seven counties in central Sweden, 15 from rural areas and small cities and five from medium sized cities or Stockholm suburbs.
Descriptions of ways of experiencing asthma management.
Four categories were identified, which described qualitatively different ways of experiencing asthma management: A. The GP focuses on transferring factual knowledge to the patient; B. The GP primarily addresses the patients' application of knowledge in management of the disease; C. The GP aims at improving the patients' understanding of the disease and its management as a prerequisite for self-management; D. The GP concentrates on how to maintain/improve the patient's quality of life despite the asthma disease.
The GPs describe their ways of experiencing asthma management in qualitatively different ways, likely to have implications for patient care and educational programmes on asthma for GPs.
识别并描述瑞典全科医生（GP）在哮喘管理体验方式上的差异。
采用现象学方法的描述性和探索性研究。半结构化录音面对面访谈，重点关注全科医生自身在哮喘管理方面的经历。
初级卫生保健。
来自瑞典中部七个县16个健康中心的20名全科医生（12名男性，8名女性），其中15名来自农村地区和小城市，5名来自中等城市或斯德哥尔摩郊区。
哮喘管理体验方式的描述。
识别出四类，描述了在哮喘管理体验上质的不同方式：A. 全科医生专注于向患者传授事实性知识；B. 全科医生主要关注患者在疾病管理中知识的应用；C. 全科医生旨在提高患者对疾病及其管理的理解，作为自我管理的前提条件；D. 全科医生专注于如何在患有哮喘疾病的情况下维持/改善患者的生活质量。
全科医生以质的不同方式描述他们在哮喘管理方面的体验方式，这可能对患者护理以及针对全科医生的哮喘教育项目产生影响。
