Abstract
Although several aspects of asthma care have been identified as being sub-optimal in Canada, such as patient education, practice guideline adoption, and access to care, there remains a need to determine the extent to which these gaps remain, so as to investigate their underlying causes, and potential solutions. An ethics-approved mixed methods educational needs assessment was conducted in four Canadian provinces (Alberta, British Columbia, Ontario, and Quebec), combining a qualitative phase (45-min semi-structured interviews with community-based healthcare providers and key stakeholders) and a quantitative phase (15-min survey, healthcare providers only). A total of 234 participants were included in the study, 44 in semi-structured interviews and 190 in the online survey. Five clinical areas were reported to be suboptimal by multiple categories of participants, and specific causes were identified for each. These areas included: Integration of guidelines into clinical practice, use of spirometry, individualisation of asthma devices to patient needs, emphasis on patient adherence and self-management, and clarity regarding roles and responsibilities of different members of the asthma healthcare team. Common causes for gaps in all ...Continue Reading
References
Feb 12, 2000·Chest·M G CochraneR H Ben-Joseph
May 3, 2003·Thorax·D M ManninoS C Redd
Jan 14, 2004·Chest·Elizabeth F JuniperElisabeth Ståhl
Oct 6, 2005·Qualitative Health Research·Hsiu-Fang Hsieh, Sarah E Shannon
May 17, 2006·Primary Care Respiratory Journal : Journal of the General Practice Airways Group·John HaughneyJennifer Cleland
Aug 10, 2006·Canadian Respiratory Journal : Journal of the Canadian Thoracic Society·J Mark FitzGeraldKenneth R Chapman
Aug 19, 2006·Respirology : Official Journal of the Asian Pacific Society of Respirology·Richard Wood-BakerE Haydn Walters
Dec 7, 2006·Canadian Respiratory Journal : Journal of the Canadian Thoracic Society·M LabrecqueL P Boulet
Mar 29, 2007·The Annals of Pharmacotherapy·Rachel RouleauClaudine Laurier
Nov 19, 2008·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Matthew B Stanbrook, Alan Kaplan
Nov 19, 2008·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Shawn D AaronUNKNOWN Canadian Respiratory Clinical Research Consortium
Dec 26, 2008·The Annals of Pharmacotherapy·Nola René-HenriMarie-France Beauchesne
Sep 4, 2009·The Journal of Continuing Education in the Health Professions·Scott Reeves
Sep 23, 2009·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Alan G KaplanR Andrew McIvor
Aug 28, 2010·Respiratory Medicine·Louis-Philippe BouletDenis E O'Donnell
Nov 3, 2010·Thorax·Erik W M A BischoffJean Bourbeau
Feb 1, 2011·Medical Teacher·Gillian Maudsley
Jul 26, 2011·Thorax·Jaap C A TrappenburgJan-Willem J Lammers
May 16, 2012·Annals of Internal Medicine·Vincent S FanDennis E Niewoehner
Aug 15, 2012·Canadian Respiratory Journal : Journal of the Canadian Thoracic Society·Christopher J LicskaiMadonna Ferrone
Mar 21, 2013·Allergy, Asthma, and Clinical Immunology : Official Journal of the Canadian Society of Allergy and Clinical Immunology·Hamdan Al-JahdaliSaleh Al-Muhsen
Nov 7, 2013·Administration and Policy in Mental Health·Lawrence A PalinkasKimberly Hoagwood
Dec 7, 2013·BMC Pulmonary Medicine·Afisi S IsmailaZhen Su
Oct 17, 2014·Chest·Gerard J CrinerMichael K Stickland
Sep 6, 2015·Clinical Colorectal Cancer·Patrice LazureSuzanne Murray
Oct 25, 2016·The International Journal of Pharmacy Practice·Audrey Tilly-GrattonFrancine M Ducharme
Jan 7, 2017·Implementation Science : IS·Bhupendrasinh F ChauhanRyan Zarychanski
Jan 13, 2017·Asthma Research and Practice·Carlos NunesMário Morais-Almeida
Jan 24, 2017·JAMA : the Journal of the American Medical Association·Shawn D AaronUNKNOWN Canadian Respiratory Research Network