The Asthma Programme of Finland: an evaluation survey in primary health care
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 (m...
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| Veröffentlicht in: | The international journal of tuberculosis and lung disease 2003-06, Vol.7 (6), p.592-598 |
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| container_title | The international journal of tuberculosis and lung disease |
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| creator | ERHOLA, M MÄKINEN, R KOSKELA, K BERGMAN, V KLAUKKA, T MÄKELÄ, M TIRKKONEN, L KAILA, M |
| description | 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. |
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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.</description><identifier>ISSN: 1027-3719</identifier><identifier>EISSN: 1815-7920</identifier><identifier>PMID: 12797704</identifier><language>eng</language><publisher>Paris, France: IUATLD</publisher><subject><![CDATA[Asthma ; Asthma - diagnosis ; Asthma - therapy ; Biological and medical sciences ; Chronic obstructive pulmonary disease, asthma ; Clinical Competence - standards ; Clinical Competence - statistics & numerical data ; Finland ; Health Care Surveys - standards ; Health Care Surveys - statistics & numerical data ; Humans ; Medical sciences ; Outcome Assessment (Health Care) - standards ; Outcome Assessment (Health Care) - statistics & numerical data ; Physicians, Family - standards ; Physicians, Family - statistics & numerical data ; Pneumology ; 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 ; Professional Practice ; Program Evaluation - standards ; Program Evaluation - statistics & numerical data ; Programme Evaluation ; Quality of Health Care - standards ; Quality of Health Care - statistics & numerical data ; Time Factors]]></subject><ispartof>The international journal of tuberculosis and lung disease, 2003-06, Vol.7 (6), p.592-598</ispartof><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14848185$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12797704$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ERHOLA, M</creatorcontrib><creatorcontrib>MÄKINEN, R</creatorcontrib><creatorcontrib>KOSKELA, K</creatorcontrib><creatorcontrib>BERGMAN, V</creatorcontrib><creatorcontrib>KLAUKKA, T</creatorcontrib><creatorcontrib>MÄKELÄ, M</creatorcontrib><creatorcontrib>TIRKKONEN, L</creatorcontrib><creatorcontrib>KAILA, M</creatorcontrib><title>The Asthma Programme of Finland: an evaluation survey in primary health care</title><title>The international journal of tuberculosis and lung disease</title><addtitle>Int J Tuberc Lung Dis</addtitle><description>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.</description><subject>Asthma</subject><subject>Asthma - diagnosis</subject><subject>Asthma - therapy</subject><subject>Biological and medical sciences</subject><subject>Chronic obstructive pulmonary disease, asthma</subject><subject>Clinical Competence - standards</subject><subject>Clinical Competence - statistics & numerical data</subject><subject>Finland</subject><subject>Health Care Surveys - standards</subject><subject>Health Care Surveys - statistics & numerical data</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Outcome Assessment (Health Care) - standards</subject><subject>Outcome Assessment (Health Care) - statistics & numerical data</subject><subject>Physicians, Family - standards</subject><subject>Physicians, Family - statistics & numerical data</subject><subject>Pneumology</subject><subject>Practice Guidelines as Topic - standards</subject><subject>Practice Patterns, Physicians' - standards</subject><subject>Practice Patterns, Physicians' - statistics & numerical data</subject><subject>Primary Health Care - standards</subject><subject>Primary Health Care - statistics & numerical data</subject><subject>Professional Practice</subject><subject>Program Evaluation - standards</subject><subject>Program Evaluation - statistics & numerical data</subject><subject>Programme Evaluation</subject><subject>Quality of Health Care - standards</subject><subject>Quality of Health Care - statistics & numerical data</subject><subject>Time Factors</subject><issn>1027-3719</issn><issn>1815-7920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1L9DAQh4sofv8LkoveCpk2TVJv4vv6AQt60HOYbae7WdpUk3RB_3qz7C6eDCQzh4eH32QOslPQUOWqLvhh6nmh8lJBfZKdhbDivAAAdZydQKFqpbg4zWZvS2J3IS4HZK9-XHgcBmJjxx6s69G1twwdozX2E0Y7OhYmv6YvZh378HZA_8WWhH1csgY9XWRHHfaBLnf1PHt_-P92_5TPXh6f7-9muU1hYi4aVIIUag210NUcKF0ArHWty7rEBkEKQtloqeWchC4UV20nZddWWnIoz7ObrffDj58ThWgGGxrqU2Aap2BUWVaCc5nAqx04zQdqzS6z2c-fgOsdgKHBvvPoGht-OaGFBl0l7t-Ws25BLqJZjZN3aUZj08f0rbGrzVtwXhq-PWrfSIM-pgqbPK9_aZq9abO0zc7MWjmZjAVwXVQGKpCmpQ6nPpqI3iy-TUjKH6g4lCM</recordid><startdate>20030601</startdate><enddate>20030601</enddate><creator>ERHOLA, M</creator><creator>MÄKINEN, R</creator><creator>KOSKELA, K</creator><creator>BERGMAN, V</creator><creator>KLAUKKA, T</creator><creator>MÄKELÄ, M</creator><creator>TIRKKONEN, L</creator><creator>KAILA, M</creator><general>IUATLD</general><general>Union internationale contre la tuberculose et les maladies respiratoires</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20030601</creationdate><title>The Asthma Programme of Finland: an evaluation survey in primary health care</title><author>ERHOLA, M ; MÄKINEN, R ; KOSKELA, K ; BERGMAN, V ; KLAUKKA, T ; MÄKELÄ, M ; TIRKKONEN, L ; KAILA, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-i371t-4ca74e7a8819485b1e5b111a9898393aca164ea6c8686be482707df66fd586013</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Asthma</topic><topic>Asthma - diagnosis</topic><topic>Asthma - therapy</topic><topic>Biological and medical sciences</topic><topic>Chronic obstructive pulmonary disease, asthma</topic><topic>Clinical Competence - standards</topic><topic>Clinical Competence - statistics & numerical data</topic><topic>Finland</topic><topic>Health Care Surveys - standards</topic><topic>Health Care Surveys - statistics & numerical data</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Outcome Assessment (Health Care) - standards</topic><topic>Outcome Assessment (Health Care) - statistics & numerical data</topic><topic>Physicians, Family - standards</topic><topic>Physicians, Family - statistics & numerical data</topic><topic>Pneumology</topic><topic>Practice Guidelines as Topic - standards</topic><topic>Practice Patterns, Physicians' - standards</topic><topic>Practice Patterns, Physicians' - statistics & numerical data</topic><topic>Primary Health Care - standards</topic><topic>Primary Health Care - statistics & numerical data</topic><topic>Professional Practice</topic><topic>Program Evaluation - standards</topic><topic>Program Evaluation - statistics & numerical data</topic><topic>Programme Evaluation</topic><topic>Quality of Health Care - standards</topic><topic>Quality of Health Care - statistics & numerical data</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ERHOLA, M</creatorcontrib><creatorcontrib>MÄKINEN, R</creatorcontrib><creatorcontrib>KOSKELA, K</creatorcontrib><creatorcontrib>BERGMAN, V</creatorcontrib><creatorcontrib>KLAUKKA, T</creatorcontrib><creatorcontrib>MÄKELÄ, M</creatorcontrib><creatorcontrib>TIRKKONEN, L</creatorcontrib><creatorcontrib>KAILA, M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>The international journal of tuberculosis and lung disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ERHOLA, M</au><au>MÄKINEN, R</au><au>KOSKELA, K</au><au>BERGMAN, V</au><au>KLAUKKA, T</au><au>MÄKELÄ, M</au><au>TIRKKONEN, L</au><au>KAILA, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Asthma Programme of Finland: an evaluation survey in primary health care</atitle><jtitle>The international journal of tuberculosis and lung disease</jtitle><addtitle>Int J Tuberc Lung Dis</addtitle><date>2003-06-01</date><risdate>2003</risdate><volume>7</volume><issue>6</issue><spage>592</spage><epage>598</epage><pages>592-598</pages><issn>1027-3719</issn><eissn>1815-7920</eissn><abstract>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.</abstract><cop>Paris, France</cop><pub>IUATLD</pub><pmid>12797704</pmid><tpages>7</tpages></addata></record> |
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| ispartof | The international journal of tuberculosis and lung disease, 2003-06, Vol.7 (6), p.592-598 |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Asthma Asthma - diagnosis Asthma - therapy Biological and medical sciences Chronic obstructive pulmonary disease, asthma Clinical Competence - standards Clinical Competence - statistics & numerical data Finland Health Care Surveys - standards Health Care Surveys - statistics & numerical data Humans Medical sciences Outcome Assessment (Health Care) - standards Outcome Assessment (Health Care) - statistics & numerical data Physicians, Family - standards Physicians, Family - statistics & numerical data Pneumology 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 Professional Practice Program Evaluation - standards Program Evaluation - statistics & numerical data Programme Evaluation Quality of Health Care - standards Quality of Health Care - statistics & numerical data Time Factors |
| title | The Asthma Programme of Finland: an evaluation survey in primary health care |
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