AIM: The Asthma 3+ Visit Plan is an initiative to promote organised asthma care in general practice. This study aimed to identify factors associated with uptake of the plan by general practitioners, and their views on barriers and facilitators to implementation of the plan. DESIGN: Postal survey sent to a random sample of GPs. PARTICIPANTS AND SETTING: 315 GPs in five Divisions of General Practice in metropolitan Sydney, surveyed sequentially between 1 October 2002 and 31 May 2003. OUTCOME MEASURES: Awareness and use of the Asthma 3+ Visit Plan; GP and practice factors associated with use of the plan; and GP views on barriers and facilitators to implementing the plan. RESULTS: The response rate was 55.7%, and 72.1% of participants were male; participants' mean age was 50.5 years. Most GPs (91.2%) were aware of the plan and and 44.9% had used it. GP and practice factors associated with use of the plan were use of the six-step Australian Asthma Management Plan, confidence in aspects of asthma care, practice accreditation, sign-up for asthma incentives, and computerisation. Major barriers to implementing the plan were workload/paperwork and administrative complexities. Patient factors that influenced completion of the plan were their concept of the severity of their asthma, compliance with follow-up, and patient attitudes towards asthma care. CONCLUSION: The perceived workload and administrative complexity of the asthma incentives are barriers to uptake. Factors relating to the illness rather than social factors are seen as the most important influences on completion of the plan by patients.
AIM: The Asthma 3+ Visit Plan is an initiative to promote organised asthma care in general practice. This study aimed to identify factors associated with uptake of the plan by general practitioners, and their views on barriers and facilitators to implementation of the plan. DESIGN: Postal survey sent to a random sample of GPs. PARTICIPANTS AND SETTING: 315 GPs in five Divisions of General Practice in metropolitan Sydney, surveyed sequentially between 1 October 2002 and 31 May 2003. OUTCOME MEASURES: Awareness and use of the Asthma 3+ Visit Plan; GP and practice factors associated with use of the plan; and GP views on barriers and facilitators to implementing the plan. RESULTS: The response rate was 55.7%, and 72.1% of participants were male; participants' mean age was 50.5 years. Most GPs (91.2%) were aware of the plan and and 44.9% had used it. GP and practice factors associated with use of the plan were use of the six-step Australian Asthma Management Plan, confidence in aspects of asthma care, practice accreditation, sign-up for asthma incentives, and computerisation. Major barriers to implementing the plan were workload/paperwork and administrative complexities. Patient factors that influenced completion of the plan were their concept of the severity of their asthma, compliance with follow-up, and patient attitudes towards asthma care. CONCLUSION: The perceived workload and administrative complexity of the asthma incentives are barriers to uptake. Factors relating to the illness rather than social factors are seen as the most important influences on completion of the plan by patients.
Authors: Lisa Pagano; Zoe McKeough; Sally Wootton; Stephen Crone; Deborah Pallavicini; Andrew S L Chan; Sriram Mahadev; Nicholas Zwar; Sarah Dennis Journal: Pilot Feasibility Stud Date: 2020-09-23
Authors: Fabienne Djandji; Alexandrine J Lamontagne; Lucie Blais; Simon L Bacon; Pierre Ernst; Roland Grad; Kim L Lavoie; Martha L McKinney; Eve Desplats; Francine M Ducharme Journal: NPJ Prim Care Respir Med Date: 2017-03-31 Impact factor: 2.871
Authors: Moyez Jiwa; Robert K McKinley; Katrina Spilsbury; Hayley Arnet; Marthe Smith Journal: BMC Med Res Methodol Date: 2009-07-17 Impact factor: 4.615
Authors: Jeremy M Bunker; Helen K Reddel; Sarah M Dennis; Sandy Middleton; Cp Van Schayck; Alan J Crockett; Iqbal Hasan; Oshana Hermiz; Sanjyot Vagholkar; Guy B Marks; Nicholas A Zwar Journal: Implement Sci Date: 2012-09-07 Impact factor: 7.327