Survey of recognition and utilization of guidelines for the diagnosis and management of bronchial asthma in Japan
Survey of recognition and utilization of guidelines for the diagnosis and management of bronchial asthma in Japan
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DOI：
10.1034/j.1398-9995.2000.00090.x
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发表时间：
2000-02-01
期刊：
影响因子：
12.4
通讯作者：
Naitou, H
中科院分区：
文献类型：
--
作者：
Makino, S;Miyamoto, T;Naitou, H
背景资料：在日本，在1993年，日本变态反应学会（JSA）制定的哮喘（JGL），这是基于哮喘是一种慢性炎症性疾病的气道mathematics.Methods的概念的诊断和管理指南：这项调查研究的目的是调查的认识和利用JGL之间的医生谁治疗哮喘。该调查包括两种方法：定量邮件调查和定性门到门调查进行了训练有素的interviewers.Results：在邮件调查中，共有1028名医生回答，552名成员的JSA和476 nonmembers。94%的JSA成员知道成人哮喘管理指南，而53%的非成员知道这些指南。虽然约有一半的医生（包括会员和非会员）发现JGL中的哮喘管理政策与他们以前的政策之间存在差异，但大多数医生在阅读JGL后都会使用JGL。在定性上门调查中，80-90%的医生在阅读JGL后评价JGL为良好。结论：JGL被大多数JSA成员认可和使用，但只有一半的非成员医生知道JGL，尽管他们在阅读后使用了JGL，但需要进一步采取行动在非专科医生中实施JGL以改善哮喘的管理。
Background: In Japan in 1993, the Japanese Society of Allergology (JSA) developed guidelines for diagnosis and management of asthma (JGL), which were based on the concept that asthma is a chronic inflammatory disorder of the airway.Methods: This survey study was intended to investigate the recognition and utilization of JGL among physicians who had treated asthma. The survey comprised two methods: a quantitative mail survey and a qualitative door-to-door survey conducted by trained interviewers.Results: In the mail survey, a total of 1028 physicians responded; 552 members of the JSA and 476 nonmembers. Ninety-four percent of JSA members were aware of adult asthma management guidelines, while 53% of nonmembers were aware of them. Although approximately half of the physicians, both members and nonmembers, found differences between the asthma management policies in JGL and their previous policies, most of them utilized JGL once they read it. In the qualitative door-to-door survey, 80-90% of physicians evaluated JGL as good after they read it.Conclusions: JGL was recognized and utilized by most JSA members, but only half of nonmember physicians were aware of JGL, although they utilized JGL after they read it. Further action to implement JGL among nonspecialist physicians is needed to improve management of asthma.