儿童哮喘：儿科医生和家庭医生的管理实践
Asthma in children: Management practices among paediatricians and family physicians.
作者信息
Mitchell I, Choi B C, McRae L, Chan B T
机构信息
Alberta Children's Hospital and University of Calgary, Calgary, Alberta;
出版信息
Paediatr Child Health. 2001 Jul;6(6):355-60. doi: 10.1093/pch/6.6.355.
OBJECTIVE
To ascertain the variation in asthma management practices among paediatricians and family physicians to determine how to improve care.
DESIGN
Questionnaire study of paediatricians and family physicians that focused on the use of beta(2)-agonists, inhaled corticosteroids, patient asthma education, quantitative measurements of airflow and diagnostic investigations for asthma. Case scenarios were used in the questionnaire.
RESULTS
The response rate was 66% (415 of 632) among paediatricians and 42% (1156 of 2750) among family physicians. In general, both groups followed consensus guidelines. There were some differences in management practices among paediatricians and family physicians. Paediatricians were more likely to develop an action plan and less likely to use xanthines or inhaled anticholinergic agents. However, family physicians were more likely to use spirometry or home peak expiratory flow rates to make a diagnosis of asthma.
CONCLUSION
Family physicians and paediatricians require a different focus on educational interventions to improve the care of children with asthma.
目的
确定儿科医生和家庭医生在哮喘管理实践中的差异，以确定如何改善护理。
设计
针对儿科医生和家庭医生的问卷调查研究，重点关注β₂激动剂、吸入性糖皮质激素的使用、患者哮喘教育、气流的定量测量以及哮喘的诊断检查。问卷中使用了病例场景。
结果
儿科医生的回复率为66%（632人中的415人），家庭医生的回复率为42%（2750人中的1156人）。总体而言，两组均遵循共识指南。儿科医生和家庭医生在管理实践上存在一些差异。儿科医生更有可能制定行动计划，而使用黄嘌呤或吸入性抗胆碱能药物的可能性较小。然而，家庭医生更有可能使用肺活量测定法或家庭呼气峰值流速来诊断哮喘。
结论
家庭医生和儿科医生需要在教育干预方面有不同的侧重点，以改善对哮喘儿童的护理。
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