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Asthma management: how effective is it in the community?
M Matheson1, J Wicking, J Raven
1Department of Epidemiology and Preventive Medicine, The Alfred Hospital, Melbourne, Victoria, Australia.
Internal Medicine Journal
|October 17, 2002
Summary
Asthma management in adults remains suboptimal despite the National Asthma Campaign (NAC). Key indicators like lung function measurement and action plan use have declined, necessitating new strategies.
Area of Science:
- Respiratory Medicine
- Public Health
- Epidemiology
Background:
- The National Asthma Campaign (NAC) was initiated in Australia in 1989.
- The NAC aimed to enhance asthma management via a six-step plan.
Purpose of the Study:
- To evaluate adult asthma management 10 years post-NAC initiation.
- Assessed self-reported asthma management practices in a cohort study.
Main Methods:
- Cross-sectional epidemiological study in Melbourne (1999-2000).
- Utilized the European Community Respiratory Health Survey for data collection.
- Included 435 adults with self-reported asthma.
Main Results:
- 52.9% reported doctor-measured lung function.
- Only 10.1% owned a peak flow meter (PFM).
- 13.3% had a written action plan.
- Significant declines observed since 1993 in lung function measurement, PFM ownership, and action plan possession.
Conclusions:
- Adult asthma management does not meet NAC guidelines.
- A significant decrease in key management practices indicates a need for revised strategies.
- New approaches for asthma management and dissemination are essential.
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