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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
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Severe asthma: emergency care patient driven solutions.

Karen Newell1, Chris Corrigan2, Geoffrey Punshon3

  • 1Central London Community Healthcare NHS Trust, London, UK.

International Journal of Health Care Quality Assurance
|August 16, 2017
PubMed
Summary

Patients with severe asthma avoid emergency departments (EDs) due to fear and vulnerability. An asthma patient passport (APP) was developed to improve communication and reduce patient burden during severe asthma attacks.

Keywords:
AsthmaEmergencyQuality improvementSoft systems methodologySystems thinking

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Area of Science:

  • Respiratory Medicine
  • Health Services Research
  • Systems Thinking

Background:

  • Patients with severe asthma often avoid emergency departments (EDs) during exacerbations.
  • Self-medication in severe asthma exacerbations poses significant risks.
  • This reluctance to seek emergency care reflects a broader national issue.

Purpose of the Study:

  • To investigate the underlying reasons for severe asthma patients' reluctance to attend the ED.
  • To develop practical, patient-centered solutions to address this reluctance.
  • To explore the application of systems thinking in understanding and solving healthcare access issues.

Main Methods:

  • Soft systems methodology was employed to analyze the problem of ED avoidance.
  • A co-production approach with patients was used to develop a potential solution.
  • The study focused on a well-defined ('tame') problem within healthcare access.

Main Results:

  • Patients expressed fear and vulnerability associated with attending the ED.
  • An Asthma Patient Passport (APP) was designed to enhance patient confidence and communication during distress.
  • The APP simplifies care-seeking by reducing patient steps from 12 to 5.

Conclusions:

  • The Asthma Patient Passport (APP) offers a practical solution to improve emergency care access for severe asthma patients.
  • The APP empowers patients by facilitating communication of needs during severe exacerbations.
  • Systems thinking proved valuable in identifying patient-centered solutions for a defined healthcare access problem.