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Cited by 191Asthma and respiratory diseasesClinical practice guidelines implementationPrimary Care and Health Outcomes

The DOI matches its Crossref record; 17 of the 17 references it cites were found in a registry or an index.

Long-term effects of asthma education for physicians on patient satisfaction and use of health services

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Clark, N.M., Gong, M., Schork, M.a, Kaciroti, N, Evans, D, Roloff, D, Hurwitz, M, Maiman, L.a, Mellins, R.b·2000·European Respiratory Journal
DOI 10.1034/j.1399-3003.2000.16a04.x
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Abstract

This randomized clinical trial evaluated the long-term impact of an interactive seminar for physicians based on principles of self-regulation on clinician behaviour, children's use of health services for asthma, and parent's views of physician performance. Seventy-four general practice paediatricians, and 637 of their asthma patients aged 1-12 yrs, were randomized to treatment or control. Children and parents were blind to physicians' participation. Data were collected at baseline and follow-up through self-administered surveys (paediatricians), telephone interviews (parents) and medical records. The seminar focused on development of communication and teaching skills and use of therapeutic medical regimens for asthma as outlined in the National Asthma Education and Prevention Program guidelines. Approximately 2 yrs postintervention, treatment group physicians were more likely than control physicians to: use protocols for delivering asthma education (odds ratio (OR) 4.9, p=0.2), write down for patients how to adjust medicines when symptoms change (OR 5.7, p=0.05), and provide more guidelines for modifying therapy (OR 3.8, p=0.06). Parents scored treatment group physicians higher than control physicians on five specific positive communication behaviours. Children seen by treatment group physicians had fewer hospitalizations (p=0.03) and those with higher levels of emergency department (ED) use at baseline had fewer subsequent ED visits (p=0.03). No differences regarding the number of office visits were noted. There were no significant differences found between treatment and control group physicians in the amount of time spent with patients during office visits (26 versus 29 min) or in the number of patients treated with anti-inflammatory medicine. It is concluded that interactive asthma seminars for paediatricians had significant long-term benefits for their asthma care.

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Research works printed but not linked: 2

  1. Inui TS, Yourtee EL, Williamson JW. Improving out- comes in hypertension after physician tutorials. Ann In- tern Med 1976; 84: 646±651.
  2. National Heart, Lung, and Blood Institute. Asthma management in minority children: practical insights for clinicians, researchers, and public health planners. NIH publication No. 95-3675, 1995; pp. 13, 48±49.

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Metadata

Authors
Clark, N. M., Gong, M., Schork, M. A., Kaciroti, N., Evans, D., Roloff, D., Hurwitz, M., Maiman, L. A., & Mellins, R. B.
Affiliations
University of Michigan (US)
ORCID
Venue
European Respiratory Journal
Publisher
European Respiratory Society (ERS)
Published
2000-07
Volume
16
Issue
1
Pages
15-21
ISSN
  • 0903-1936 (ISSN-L)
  • 1399-3003
DOI
10.1034/j.1399-3003.2000.16a04.x
OpenAlex
W2150346814
Cited by
191
References
17
Citations by year
2025: 3 · 2024: 1 · 2023: 1 · 2022: 4 · 2021: 3 · 2020: 5 · 2019: 2 · 2018: 3 · 2017: 4 · 2016: 6 · 2015: 3 · 2014: 7 · 2013: 6 · 2012: 5
FWCI
4.08
Type
journal article
Language
en
Open access
Locations
  • European Respiratory Journal (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Arnold P. Gold Foundation
  • National Institutes of Health (5r01hl044976-05)
  • National Heart, Lung, and Blood Institute (HL-44976)
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Asthma and respiratory diseases
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
  • Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
Keywords
asthma education, physician training, childhood asthma, patient satisfaction, health care utilization, hospitalization, emergency department visits, physician-patient communication, self-regulation, asthma guidelines, long-term outcomes
MeSH terms
Adult, Asthma, Child, Child, Preschool, Communication, Education, Medical, Continuing, Female, Health Services, Humans, Infant, Male, Middle Aged, Parents, Pediatrics, Physician-Patient Relations, Patient Satisfaction

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