Cvetkovski Biljana, Armour Carol, Bosnic-Anticevich Sinthia
University of Sydney, Building A15 Science Rd, University of Sydney New South Wales 2006, Australia.
Aust J Rural Health. 2009 Aug;17(4):195-200. doi: 10.1111/j.1440-1584.2009.01071.x.
To investigate the perceptions and attitudes towards asthma management of general practitioners, pharmacists and people with asthma in a rural area.
Qualitative semistructured interviews.
Small rural centre in New South Wales.
General practitioners, pharmacists and people with asthma in a rural area.
General practitioners perceived that the patient provided a barrier to the implementation of optimal asthma services. They were aware that other health care professionals had a role in asthma management but were not aware of the details, particularly in relation to that of the pharmacist and would like to improve communication methods. Pharmacists also perceived the patient to be a barrier to the delivery of optimal asthma management services and would like to improve communication with the general practitioner. The impact of the rural environment for the health care professionals included workforce shortages, availability of support services and access to continuing education. People with asthma were satisfied with their asthma management and the service provided by the health care professionals and described the involvement of family members and ambulance officers in their overall asthma management. The rural environment was an issue with regards to distance to the hospital during an emergency.
General practitioners and pharmacists confirmed their existing roles in asthma management while expressing a desire to improve communication between the two professions to help overcome barriers and optimise the asthma service delivered to the patient. The patient described minimal barriers to optimising asthma management, which might suggest that they might not have great expectations of asthma care.
调查农村地区全科医生、药剂师以及哮喘患者对哮喘管理的认知和态度。
定性半结构式访谈。
新南威尔士州的一个农村小中心。
农村地区的全科医生、药剂师以及哮喘患者。
全科医生认为患者是实施最佳哮喘服务的障碍。他们意识到其他医疗保健专业人员在哮喘管理中发挥作用，但不了解具体细节，尤其是药剂师的作用，并且希望改进沟通方式。药剂师也认为患者是提供最佳哮喘管理服务的障碍，并希望改善与全科医生的沟通。农村环境对医疗保健专业人员的影响包括劳动力短缺、支持服务的可获得性以及继续教育的机会。哮喘患者对他们的哮喘管理以及医疗保健专业人员提供的服务感到满意，并描述了家庭成员和救护人员参与他们的整体哮喘管理情况。在紧急情况下，农村环境存在距离医院较远的问题。
全科医生和药剂师确认了他们在哮喘管理中的现有角色，同时表示希望改善这两个专业之间的沟通，以帮助克服障碍并优化为患者提供的哮喘服务。患者表示优化哮喘管理的障碍最小，这可能表明他们对哮喘护理的期望不高。
