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[Reasons for the gap between asthma in reality and GINA guidelines]
1Asthma Care and Education Unit, Department of Pulmonary Medicine, Sapir Medical Center Meir Hospital, Kfar Sava and Sackler Faculty of Medicine, Tel Aviv University, Israel. Varsanos@clalit.org.il
Harefuah
|May 5, 2007
Summary
Asthma management often falls short of established guidelines despite available treatments. This review explores the reasons for these gaps to improve patient quality of life and lung function.
Area of Science:
- Pulmonology
- Public Health
- Clinical Practice Guidelines
Context:
- Asthma affects 300 million globally, presenting lifelong challenges.
- Despite 15 years of GINA guidelines and effective medications, significant management gaps persist worldwide.
- Chronic asthma management faces obstacles from patient coping, healthcare provider factors, and patient-caregiver disagreements.
Purpose:
- To identify and elucidate the reasons behind the documented worldwide disparities in asthma management.
- To bridge the gap between current asthma care realities and Global Initiative for Asthma (GINA) guideline objectives.
Summary:
- This review examines the multifaceted reasons contributing to the gap between recommended asthma care and its real-world application.
- Obstacles include patient-related factors (coping mechanisms), healthcare provider issues, and misalignments in understanding well-managed asthma between patients and clinicians.
- Understanding these barriers is crucial for improving asthma control.
Impact:
- Aims to equip general practitioners with insights to close management gaps.
- Focuses on enhancing patients' asthma-related quality of life.
- Seeks to preserve lung function and reduce morbidity in asthma patients throughout their lives.
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