The asthma programme of Finland: an evaluation survey in primary health care

Int J Tuberc Lung Dis. 2003 Jun;7(6):592-8.


Objective: To evaluate the basic structures and processes of asthma care 6 years after the launch of the Finnish Asthma Programme. The evaluation will serve as the baseline for the implementation of the evidence-based guidelines for asthma published in 2000.

Design: A descriptive type-2 evaluation (managerial monitoring of a policy implementation), based on operationalised statements of the Asthma Programme.

Results: A co-ordinating doctor for asthma, usually a general practitioner (GP), was interviewed in 248 (91%) health centres; 83% of the health centres have at least one GP nominated as the local asthma co-ordinator and 94% have a nurse. Asthma education for the professionals had been organised in 71% of the health centres in the previous 2 years. First-line treatment consists of an inhaled corticosteroid. Guided self-management is used in 98% of the health centres, but its components were not clear to the doctors.

Conclusion: The basic structure of equipment and organisation for the diagnosis and treatment of asthma has been set up in the primary health care services.

Publication types

  • Evaluation Study

MeSH terms

  • Asthma / diagnosis*
  • Asthma / therapy*
  • Clinical Competence / standards
  • Clinical Competence / statistics & numerical data
  • Finland
  • Health Care Surveys / standards
  • Health Care Surveys / statistics & numerical data*
  • Humans
  • Outcome Assessment, Health Care / standards
  • Outcome Assessment, Health Care / statistics & numerical data
  • Physicians, Family / standards
  • Physicians, Family / statistics & numerical data
  • Practice Guidelines as Topic / standards
  • Practice Patterns, Physicians' / standards
  • Practice Patterns, Physicians' / statistics & numerical data
  • Primary Health Care / standards
  • Primary Health Care / statistics & numerical data*
  • Program Evaluation / standards
  • Program Evaluation / statistics & numerical data*
  • Quality of Health Care / standards
  • Quality of Health Care / statistics & numerical data*
  • Time Factors