Setting the standard for routine asthma consultations: a discussion of the aims, process and outcomes of reviewing people with asthma in primary care

Prim Care Respir J. 2010 Mar;19(1):75-83. doi: 10.4104/pcrj.2010.00006.


Globally, asthma morbidity remains unacceptably high. If outcomes are to be improved, it is crucial that routine review consultations in primary care are performed to a high standard. Key components of a review include: * Assessment of control using specific morbidity questions to elucidate the presence of symptoms, in conjunction with the frequency of use of short-acting bronchodilators and any recent history of acute attacks * After consideration of the diagnosis, and an assessment of compliance, inhaler technique, smoking status, triggers, and rhinitis, identification of poor control should result in a step-up of treatment in accordance with evidence-based guideline recommendations * Discussion should address understanding of the condition, patient-centred management goals and attitudes to regular treatment, and should include personalised self-management education Regular review of people with asthma coupled with provision of self-management education improves outcomes. Underpinned by a theoretical framework integrating professional reviews and patient self-care we discuss the practical barriers to implementing guided selfmanagement in routine clinical practice.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Asthma / diagnosis
  • Asthma / drug therapy
  • Asthma / therapy*
  • Bronchodilator Agents / therapeutic use
  • Evidence-Based Practice
  • Humans
  • Medication Adherence
  • Patient Acceptance of Health Care
  • Patient Education as Topic
  • Physician-Patient Relations
  • Practice Guidelines as Topic*
  • Primary Health Care / methods*
  • Risk Factors


  • Bronchodilator Agents