Beilby J J, Wakefield M A, Ruffin R E
Research & Health Promotion Unit, Royal Australian College of General Practitioners, Adelaide, SA.
Med J Aust. 1997 Mar 17;166(6):298-301. doi: 10.5694/j.1326-5377.1997.tb122317.x.
To examine the use of asthma management plans (AMPs) and specific elements of AMPs in a South Australian community.
Cross-sectional questionnaire survey by experienced interviewers.
307 adults with current asthma, confirmed by a doctor, who were among 3001 respondents of a representative sample of 4065 South Australian adults recruited by multistage systematic clustered area sampling for a larger study in March 1995.
Prevalence of reported use of AMPs and of specific elements of AMPs, such as knowledge of trigger factors and having an action plan, and the proportion of adults with asthma receiving what we defined as "good management".
46% reported having an AMP; 63% had discussed trigger factors with their doctors and 39.5% had action plans. 82% had been told the severity of their asthma, and 23.3% were receiving good management.
Less than half of people with asthma use AMPs, although certain elements within the AMPs are reportedly being used more frequently. More research is required on why AMPs are not more generally used and, more importantly, on what elements within the AMP model are useful and effective for people with asthma and likely to be used by their general practitioners (GPs).
研究南澳大利亚一个社区中哮喘管理计划（AMPs）的使用情况以及哮喘管理计划的具体要素。
由经验丰富的访谈员进行横断面问卷调查。
307名经医生确诊的成年哮喘患者，他们是1995年3月通过多阶段系统整群区域抽样招募的4065名南澳大利亚成年人代表性样本中的3001名受访者。
报告使用哮喘管理计划及哮喘管理计划具体要素的患病率，如对触发因素的了解和拥有行动计划的情况，以及接受我们定义为“良好管理”的成年哮喘患者比例。
46%的人报告有哮喘管理计划；63%的人与医生讨论过触发因素，39.5%的人有行动计划。82%的人被告知其哮喘的严重程度，23.3%的人接受了良好管理。
尽管据报道哮喘管理计划中的某些要素使用频率更高，但不到一半的哮喘患者使用哮喘管理计划。需要更多研究来探讨哮喘管理计划未得到更广泛使用的原因，更重要的是，哮喘管理计划模式中的哪些要素对哮喘患者有用且有效，以及可能被其全科医生采用。
