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Dennis SM, Zwar NA, Marks GB. Diagnosing asthma in adults in primary care: a qualitative
study of Australian GPs' experiences. Prim Care Resp J 2010;19(1):52-56. DOI: http://dx.doi.org/10.4104/pcrj.2009.00046
Citation details
Dennis SM, Zwar NA, Marks GB
Diagnosing asthma in adults in primary care: a qualitative
study of Australian GPs' experiences
(2010) Prim Care Resp J 19 (1), pp. 52-56.
DOI: http://dx.doi.org/10.4104/pcrj.2009.00046
Article web page: http://www.thepcrj.org/journ/view_article.php?article_id=645
PDF url: http://www.thepcrj.org/journ/vol19/19_1_52_56.pdf
Abstract:
AIM: To explore what difficulties are faced by general practitioners (GPs) when trying to make a diagnosis of asthma in adults, and
whether there are patient characteristics that influence this process.
METHODS: A qualitative study in which three focus group discussions were conducted with 18 GPs.
RESULTS: GPs were confident with the components needed to confirm a diagnosis of asthma but not with the use of spirometry. GPs said
that time was an important factor - time to undertake the tests in their practice, and time to persuade the patient to engage in the
diagnostic process including follow-up visits. Patients who were less willing to engage in this process were likely to be treated
symptomatically.
CONCLUSION: Continuity of care is important. A diagnosis of asthma seems to be more likely in patients with an ongoing relationship
with their GP where both are willing to engage in the diagnostic process.
Keywords:
Asthma, diagnosis, primary health care, focus group
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