FitzGerald J M
University of British Columbia, and Vancouver Hospital and Health Sciences Centre, Vancouver, Canada.
Can Respir J. 1998 Jul-Aug;5 Suppl A:85A-8A.
In recent years there has been concern regarding asthma management, with a number of studies identifying poor management. In addition, prevalence, and until relatively recently mortality, have been increasing in patients with asthma. In parallel with these developments has been the publication of a large number of asthma guidelines. Many deficiencies identified in earlier guidelines have been corrected in more recent publications - especially those using an evidence-based format. The critical problem of disseminating and implementing the guidelines remains. It appears that traditional continuing medical education will not lead to a change in clinical practice. The challenge remains to create a framework for implementing methodologically sound guidelines locally.
近年来，哮喘管理备受关注，多项研究发现管理不善的情况。此外，哮喘患者的患病率以及直到最近的死亡率一直在上升。与此同时，大量哮喘指南得以发布。早期指南中发现的许多不足之处在最近的出版物中已得到纠正——尤其是那些采用循证格式的指南。然而，指南的传播与实施这一关键问题依然存在。传统的继续医学教育似乎无法带来临床实践的改变。挑战依然是创建一个在本地实施方法合理的指南的框架。
