Makino S, Furusho K, Ohta K, Mukoyama T
Tokyo Allergic Disease Research Institute, Kihara Hospital, Tokyo, Japan.
J Asthma. 2003 Sep;40(6):701-8. doi: 10.1081/jas-120023492.
The present questionnaire survey, designed to interview Japanese internists and pediatricians who were specialists or nonspecialists in allergy or asthma, was conducted to determine the acceptance of "Asthma Prevention and Management Guidelines 1998" 1 year after release. The surveyor visited each physician and used the questionnaire form at the interview. Replies were obtained from a total of 5,963 physicians. The percentage of physicians who were aware of the guidelines was 96% among specialists and 68% among nonspecialists. Among the internists who were aware of the guidelines, the percentage of physicians giving a reply of "I refer to them often" or "I refer to them" in the actual diagnosis and management of asthma was 95% among specialists and 92% among nonspecialists. Therefore, reference was very high. Except for nonspecialists among pediatricians, not less than 60% of physicians expected that propagation of the present guidelines would allow a further decrease in asthma death and further improvement of patient's quality of life. The present survey revealed an increase in guideline awareness over the last several years, which was especially marked in nonspecialists. Furthermore, high reference and high expectancy also verified that physicians recognize the contents of the present guidelines as appropriate.
本次问卷调查旨在采访日本内科医生和儿科医生，他们是过敏或哮喘方面的专科医生或非专科医生，目的是在《1998年哮喘预防与管理指南》发布一年后，确定其被接受程度。调查员走访每位医生，并在访谈时使用问卷形式。共获得5963名医生的回复。专科医生中知晓该指南的比例为96%，非专科医生中为68%。在知晓该指南的内科医生中，在哮喘实际诊断和管理中回复“我经常参考”或“我参考”的医生比例，专科医生中为95%，非专科医生中为92%。因此，参考率非常高。除儿科医生中的非专科医生外，不少于60%的医生预计，当前指南的推广将使哮喘死亡率进一步降低，患者生活质量进一步提高。本次调查显示，在过去几年中指南知晓率有所提高，在非专科医生中尤为明显。此外，高参考率和高期望也证实医生认为当前指南的内容是恰当的。
