Mowrer J Lauren, Tapp Hazel, Ludden Thomas, Kuhn Lindsay, Taylor Yhenneko, Courtlandt Cheryl, Alkhazraji Tami, Reeves Kelly, Steuerwald Mark, Andrew McWilliams, Dulin Michael
a Dickson Advanced Analytics, Carolinas HealthCare System , Charlotte , NC , USA .
b Family Medicine Research, Carolinas HealthCare System , Charlotte , NC , USA .
J Asthma. 2015;52(9):949-56. doi: 10.3109/02770903.2015.1010731. Epub 2015 Sep 12.
Differences in patients' and providers' perceptions of asthma and asthma care can create barriers to successful treatment. The primary goal of this qualitative study was to further explore patient and provider perceptions of asthma and asthma care as part of a larger Asthma Comparative Effectiveness Study.
Focus groups held every 6 months for 3 years were designed to have a mix of both patients and providers allowing for unique understanding around asthma care.
The discussion centered on goal setting, asthma action plans and prevention strategies for asthma exacerbations. Three overarching themes, with a variety of subthemes, emerged as the main findings of this study. The three main themes were Cost/Economic Barriers/Process, Self-Governance/Adherence and Education.
These themes indicated a strong need for patient educational interventions around asthma as well as education for providers around cost, insurance coverage and patient-centered communication. Specifically, education on learning to use inhalers properly, avoiding triggers and understanding the importance of a controller medication will benefit patients in the long-term management of asthma.
患者与医疗服务提供者对哮喘及哮喘护理的认知差异可能会给成功治疗带来障碍。作为一项规模更大的哮喘比较疗效研究的一部分，这项定性研究的主要目的是进一步探究患者与医疗服务提供者对哮喘及哮喘护理的认知。
在3年时间里，每6个月举行一次焦点小组讨论，参与者包括患者和医疗服务提供者，以便对哮喘护理形成独特的理解。
讨论集中在哮喘发作的目标设定、哮喘行动计划和预防策略上。本研究的主要发现呈现出三个总体主题以及多个子主题。这三个主要主题分别是成本/经济障碍/流程、自我管理/依从性和教育。
这些主题表明，迫切需要围绕哮喘对患者进行教育干预，同时也需要对医疗服务提供者进行有关成本、保险覆盖范围和以患者为中心的沟通方面的教育。具体而言，关于正确使用吸入器、避免触发因素以及理解控制药物重要性的教育，将有助于患者进行哮喘的长期管理。
