Malerba Mario, Monti Stefano, Spedini Cesare, Lombardi Carlo, Aliprandi Giovanni, Radaeli Alessando, Ceriani Luigi
Cattedra di Medicina Interna, Università degli Studi di Brescia, I Medicina, Spedali Civili, Brescia.
Recenti Prog Med. 2003 Feb;94(2):57-60.
The relationship between the general practitioner (GP) and the respiratory medicine physician specialist in the management of the asthmatic patients was examined. Two-hundred sixty -two GPs from Brescia and province were enrolled into the study and underwent an appropriate questionnaire, focusing the survey on three aspects: the relationship among GP-respiratory medicine physician specialist and asthma patients, the training of GP, the appraisal of the socio-economic aspects of the management of bronchial asthma. The results have shown the requirement of a GP-respiratory medicine physician specialist relationship founded on the exchange of information and experiences, rather then of synthetic diagnoses and therapeutic directions, and the opportunity to establish outpatients' departments dedicated to the management of the asthmatic patients. Moreover, it has been shown an inadequate application of international guidelines and a not full appraisal of the socio-economic aspects of the management of the asthmatic patients.
研究了全科医生(GP)与呼吸内科专科医生在哮喘患者管理中的关系。来自布雷西亚及其周边地区的262名全科医生参与了这项研究,并填写了一份合适的问卷,该调查聚焦于三个方面:全科医生与呼吸内科专科医生及哮喘患者之间的关系、全科医生的培训、对支气管哮喘管理的社会经济方面的评估。结果表明,需要建立一种基于信息和经验交流而非综合诊断及治疗指导的全科医生与呼吸内科专科医生的关系,以及设立专门用于哮喘患者管理的门诊科室。此外,研究还表明国际指南的应用不足,且对哮喘患者管理的社会经济方面评估不全面。