Quality of asthma care : Western Cape Province, South Africa

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dc.contributor.author Mash, Bob
dc.contributor.author Rhode, Hilary
dc.contributor.author Pather, Michael
dc.contributor.author Ainslie, Gillian
dc.contributor.author Irusen, Elvis
dc.contributor.author Bheekie, Angeni
dc.contributor.author Mayers, Pat
dc.date.accessioned 2011-03-18T14:56:51Z
dc.date.available 2011-03-18T14:56:51Z
dc.date.issued 2009
dc.identifier.citation Mash, B. et.al 2009, Quality of asthma care : Western Cape Province,South Africa, SA Medical Journal, 99(12), 892-896, http://www.samj.org.za/index.php/samj
dc.identifier.issn 0256-9574 (print)
dc.identifier.issn 2078-5135 (online)
dc.identifier.uri http://hdl.handle.net/10019.1/7024
dc.description Article
dc.description The original publication is available at http://www.samj.org.za
dc.description.abstract Background. Asthma is the eighth leading contributor to the burden of disease in South Africa, but has received less attention than other chronic diseases. The Asthma Guidelines Implementation Project (AGIP) was established to improve the impact of the South African guidelines for chronic asthma in adults and adolescents in the Western Cape. One strategy was an audit tool to assist with assessing and improving the quality of care. Methods. The audit of asthma care targeted all primary care facilities that managed adult patients with chronic asthma within all six districts of the Western Cape province. The usual steps in the quality improvement cycle were followed. Results. Data were obtained from 957 patients from 46 primary care facilities. Only 80% of patients had a consistent diagnosis of asthma, 11.5% of visits assessed control and 23.2% recorded a peak expiratory flow (PEF), 14% of patients had their inhaler technique assessed and 11.2% were given a self-management plan; 81% of medication was in stock, and the controller/reliever dispensing ratio was 0.6. Only 31.5% of patients were well controlled, 16.3% of all visits were for exacerbations, and 17.6% of all patients had been hospitalised in the previous year. Conclusion. The availability of medication and prescription of inhaled steroids is reasonable, yet control is poor. Health workers do not adequately distinguish asthma from chronic obstructive pulmonary disease, do not assess control by questions or PEF, do not adequately demonstrate or assess the inhaler technique, and have no systematic approach to or resources for patient education. Ten recommendations are made to improve asthma care.
dc.language.iso en_ZA
dc.publisher Health and Medical Publishing Group (HMPG)
dc.subject Asthma -- Diagnosis en_ZA
dc.subject Lungs, Diseases -- Obstructive -- Diagnosis en_ZA
dc.subject Asthma patients -- Care -- Recommendations en_ZA
dc.subject Primary care facilities -- South Africa -- Western Cape -- Quality improvement en_ZA
dc.title Quality of asthma care : Western Cape Province, South Africa
dc.type Article
dc.description.version Publishers' version
dc.rights.holder Health and Medical Publishing Group (HMPG)


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