Leving Marika T, Gerritsma Yoran H, Jackson David J, Bischoff Erik W M A, Meijer Jiska M, Wouters Hans, Blok Bertine Flokstra-de, Kocks Janwillem W H
General Practitioners Research Institute, Groningen, The Netherlands.
Guy's Severe Asthma Centre, Guy's & St Thomas' NHS Trust, London, United Kingdom.
NPJ Prim Care Respir Med. 2025 Apr 15;35(1):23. doi: 10.1038/s41533-025-00427-9.
Patients seen in general practices can achieve improved asthma control with better identification of factors that contribute to uncontrolled asthma. Information is lacking on the proportion of patients with uncontrolled asthma, associated patient characteristics, and opportunities to improve management. The objectives of this study were to determine the proportion of general practice patients with uncontrolled asthma, as assessed during a regular consultation with the AsthmaOptimiser digital tool, identify the opportunities for improved management, and to evaluate the usability of this tool which is based on treatment recommendations from GINA. The CAPTURE study was a non-interventional, prospective, observational study of the AsthmaOptimiser in general practice settings in the Netherlands. Patients were at least 18 years of age with an asthma diagnosis. A total of 34 Dutch general practitioners or nurse practitioners participated in the study and planned to use the AsthmaOptimiser with 5 to 10 adult patients per practice. Interviews were conducted to gather information from practitioners about the tool's usability, its content, and areas for improvement. Of the 220 patients enrolled, 60% had uncontrolled asthma, of whom 64% had opportunities for management improvement that could be initiated during a primary care visit. Specialist referrals were advisable according to the AsthmaOptimiser in 45 patients with uncontrolled asthma. Practitioners reported that the AsthmaOptimiser was an added value and had suggestions on how to improve the tool. In Dutch general practices, the AsthmaOptimiser helped general practitioners identify opportunities for improved disease management by addressing poor disease control. Overall, the general practitioners found the AsthmaOptimiser easy to use and a good addition to asthma consultations.
在普通诊所就诊的患者，如果能更好地识别导致哮喘控制不佳的因素，就能实现哮喘控制的改善。目前缺乏关于哮喘控制不佳患者的比例、相关患者特征以及改善管理机会的信息。本研究的目的是确定在使用AsthmaOptimiser数字工具进行常规会诊时评估的普通诊所哮喘控制不佳患者的比例，确定改善管理的机会，并评估基于全球哮喘防治创议（GINA）治疗建议的该工具的可用性。CAPTURE研究是一项在荷兰普通诊所环境中对AsthmaOptimiser进行的非干预性、前瞻性观察研究。患者年龄至少18岁，已确诊哮喘。共有34名荷兰全科医生或执业护士参与了该研究，每个诊所计划对5至10名成年患者使用AsthmaOptimiser。进行了访谈，以收集从业者关于该工具的可用性、内容和改进领域的信息。在纳入的220名患者中，60%的患者哮喘控制不佳，其中64%的患者有在初级保健就诊时即可启动的改善管理的机会。根据AsthmaOptimiser的建议，45名哮喘控制不佳的患者需要转诊至专科医生处。从业者报告称，AsthmaOptimiser具有附加价值，并对如何改进该工具提出了建议。在荷兰的普通诊所中，AsthmaOptimiser通过解决疾病控制不佳的问题，帮助全科医生识别改善疾病管理的机会。总体而言，全科医生发现AsthmaOptimiser易于使用，是哮喘会诊的有益补充。
