General practitioner views on barriers and facilitators to implementation of the Asthma 3+ Visit Plan
Aim: The Asthma 3+ Visit Plan is an initiative to promote organised asthma care in general practice. This study aimed to identify factors associated with uptake of the plan by general practitioners, and their views on barriers and facilitators to implementation of the plan. Design: Postal survey sen...
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| Veröffentlicht in: | Medical journal of Australia 2005-07, Vol.183 (2), p.64-67 |
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| creator | Zwar, Nicholas A Hasan, Iqbal Comino, Elizabeth J Harris, Mark F |
| description | Aim: The Asthma 3+ Visit Plan is an initiative to promote organised asthma care in general practice. This study aimed to identify factors associated with uptake of the plan by general practitioners, and their views on barriers and facilitators to implementation of the plan.
Design: Postal survey sent to a random sample of GPs.
Participants and setting: 315 GPs in five Divisions of General Practice in metropolitan Sydney, surveyed sequentially between 1 October 2002 and 31 May 2003.
Outcome measures: Awareness and use of the Asthma 3+ Visit Plan; GP and practice factors associated with use of the plan; and GP views on barriers and facilitators to implementing the plan.
Results: The response rate was 55.7%, and 72.1% of participants were male; participants’ mean age was 50.5 years. Most GPs (91.2%) were aware of the plan and and 44.9% had used it. GP and practice factors associated with use of the plan were use of the six‐step Australian Asthma Management Plan, confidence in aspects of asthma care, practice accreditation, sign‐up for asthma incentives, and computerisation. Major barriers to implementing the plan were workload/paperwork and administrative complexities. Patient factors that influenced completion of the plan were their concept of the severity of their asthma, compliance with follow‐up, and patient attitudes towards asthma care.
Conclusion: The perceived workload and administrative complexity of the asthma incentives are barriers to uptake. Factors relating to the illness rather than social factors are seen as the most important influences on completion of the plan by patients. |
| doi_str_mv | 10.5694/j.1326-5377.2005.tb06923.x |
| format | Article |
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Design: Postal survey sent to a random sample of GPs.
Participants and setting: 315 GPs in five Divisions of General Practice in metropolitan Sydney, surveyed sequentially between 1 October 2002 and 31 May 2003.
Outcome measures: Awareness and use of the Asthma 3+ Visit Plan; GP and practice factors associated with use of the plan; and GP views on barriers and facilitators to implementing the plan.
Results: The response rate was 55.7%, and 72.1% of participants were male; participants’ mean age was 50.5 years. Most GPs (91.2%) were aware of the plan and and 44.9% had used it. GP and practice factors associated with use of the plan were use of the six‐step Australian Asthma Management Plan, confidence in aspects of asthma care, practice accreditation, sign‐up for asthma incentives, and computerisation. Major barriers to implementing the plan were workload/paperwork and administrative complexities. Patient factors that influenced completion of the plan were their concept of the severity of their asthma, compliance with follow‐up, and patient attitudes towards asthma care.
Conclusion: The perceived workload and administrative complexity of the asthma incentives are barriers to uptake. Factors relating to the illness rather than social factors are seen as the most important influences on completion of the plan by patients.</description><identifier>ISSN: 0025-729X</identifier><identifier>EISSN: 1326-5377</identifier><identifier>DOI: 10.5694/j.1326-5377.2005.tb06923.x</identifier><identifier>PMID: 16022608</identifier><identifier>CODEN: MJAUAJ</identifier><language>eng</language><publisher>Sydney: Australasian Medical Publishing Company</publisher><subject><![CDATA[Aged ; Asthma ; Asthma - therapy ; Attitude of Health Personnel ; Biological and medical sciences ; Chronic obstructive pulmonary disease, asthma ; Clinical Competence - statistics & numerical data ; Diabetes ; Family Practice - methods ; Family Practice - statistics & numerical data ; Female ; General aspects ; Health Care Surveys ; Humans ; Incentives ; Male ; Medical sciences ; Medical screening ; Middle Aged ; New South Wales ; Office Visits - statistics & numerical data ; Patient Care Planning - statistics & numerical data ; Patients ; Pneumology ; Polls & surveys ; Practice Patterns, Physicians' - statistics & numerical data ; Questionnaires ; Surveys and Questionnaires ; Workloads]]></subject><ispartof>Medical journal of Australia, 2005-07, Vol.183 (2), p.64-67</ispartof><rights>2005 AMPCo Pty Ltd. All rights reserved</rights><rights>2005 INIST-CNRS</rights><rights>Copyright Australasian Medical Publishing Company Proprietary, Ltd. Jul 18, 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3623-6f0b1f8b19e6e442d3d30e64a430f0578f9d34892af31232d277823074887f263</citedby><cites>FETCH-LOGICAL-c3623-6f0b1f8b19e6e442d3d30e64a430f0578f9d34892af31232d277823074887f263</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.5694%2Fj.1326-5377.2005.tb06923.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.5694%2Fj.1326-5377.2005.tb06923.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16945205$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16022608$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zwar, Nicholas A</creatorcontrib><creatorcontrib>Hasan, Iqbal</creatorcontrib><creatorcontrib>Comino, Elizabeth J</creatorcontrib><creatorcontrib>Harris, Mark F</creatorcontrib><creatorcontrib>Primary Health Care Research Network</creatorcontrib><title>General practitioner views on barriers and facilitators to implementation of the Asthma 3+ Visit Plan</title><title>Medical journal of Australia</title><addtitle>Med J Aust</addtitle><description>Aim: The Asthma 3+ Visit Plan is an initiative to promote organised asthma care in general practice. This study aimed to identify factors associated with uptake of the plan by general practitioners, and their views on barriers and facilitators to implementation of the plan.
Design: Postal survey sent to a random sample of GPs.
Participants and setting: 315 GPs in five Divisions of General Practice in metropolitan Sydney, surveyed sequentially between 1 October 2002 and 31 May 2003.
Outcome measures: Awareness and use of the Asthma 3+ Visit Plan; GP and practice factors associated with use of the plan; and GP views on barriers and facilitators to implementing the plan.
Results: The response rate was 55.7%, and 72.1% of participants were male; participants’ mean age was 50.5 years. Most GPs (91.2%) were aware of the plan and and 44.9% had used it. GP and practice factors associated with use of the plan were use of the six‐step Australian Asthma Management Plan, confidence in aspects of asthma care, practice accreditation, sign‐up for asthma incentives, and computerisation. Major barriers to implementing the plan were workload/paperwork and administrative complexities. Patient factors that influenced completion of the plan were their concept of the severity of their asthma, compliance with follow‐up, and patient attitudes towards asthma care.
Conclusion: The perceived workload and administrative complexity of the asthma incentives are barriers to uptake. Factors relating to the illness rather than social factors are seen as the most important influences on completion of the plan by patients.</description><subject>Aged</subject><subject>Asthma</subject><subject>Asthma - therapy</subject><subject>Attitude of Health Personnel</subject><subject>Biological and medical sciences</subject><subject>Chronic obstructive pulmonary disease, asthma</subject><subject>Clinical Competence - statistics & numerical data</subject><subject>Diabetes</subject><subject>Family Practice - methods</subject><subject>Family Practice - statistics & numerical data</subject><subject>Female</subject><subject>General aspects</subject><subject>Health Care Surveys</subject><subject>Humans</subject><subject>Incentives</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medical screening</subject><subject>Middle Aged</subject><subject>New South Wales</subject><subject>Office Visits - statistics & numerical data</subject><subject>Patient Care Planning - statistics & numerical data</subject><subject>Patients</subject><subject>Pneumology</subject><subject>Polls & surveys</subject><subject>Practice Patterns, Physicians' - statistics & numerical data</subject><subject>Questionnaires</subject><subject>Surveys and Questionnaires</subject><subject>Workloads</subject><issn>0025-729X</issn><issn>1326-5377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkU9v1DAQxS0EotvCV0BWJbhUCfb4X8JtVbUF1AoOgLhZTmKrXiXxYntp--3xshGg3jjZM_7N-Ok9hE4pqYVs-dtNTRnISjClaiBE1LkjsgVW3z9Bqz9PT9GKEBCVgvb7ETpOaVNKKkA9R0dUEgBJmhWyV3a20Yx4G02fffahlPint3cJhxl3JkZvY8JmHrAzvR99NjmURg7YT9vRTnYunTKGg8P51uJ1yreTwewMf_PJZ_x5NPML9MyZMdmXy3mCvl5efDl_X11_uvpwvr6ueiaBVdKRjrqmo62VlnMY2MCIldxwRhwRqnHtwHjTgnGMAoMBlGqAEcWbRjmQ7AS9OezdxvBjZ1PWk0-9HYsEG3ZJy4YIXrwp4OkjcBN2cS7aNDChCGsoLdC7A9THkFK0Tm-jn0x80JTofRJ6o_d2673dep-EXpLQ92X41fLDrpvs8Hd0sb4ArxfApN6MLpq59-kfruUCiCjc-sDd-dE-_IcEffNxDb_v7Bd1VKTi</recordid><startdate>20050718</startdate><enddate>20050718</enddate><creator>Zwar, Nicholas A</creator><creator>Hasan, Iqbal</creator><creator>Comino, Elizabeth J</creator><creator>Harris, Mark F</creator><general>Australasian Medical Publishing Company</general><general>Australasian Medical Publishing Company Proprietary, Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20050718</creationdate><title>General practitioner views on barriers and facilitators to implementation of the Asthma 3+ Visit Plan</title><author>Zwar, Nicholas A ; Hasan, Iqbal ; Comino, Elizabeth J ; Harris, Mark F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3623-6f0b1f8b19e6e442d3d30e64a430f0578f9d34892af31232d277823074887f263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Aged</topic><topic>Asthma</topic><topic>Asthma - therapy</topic><topic>Attitude of Health Personnel</topic><topic>Biological and medical sciences</topic><topic>Chronic obstructive pulmonary disease, asthma</topic><topic>Clinical Competence - statistics & numerical data</topic><topic>Diabetes</topic><topic>Family Practice - methods</topic><topic>Family Practice - statistics & numerical data</topic><topic>Female</topic><topic>General aspects</topic><topic>Health Care Surveys</topic><topic>Humans</topic><topic>Incentives</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medical screening</topic><topic>Middle Aged</topic><topic>New South Wales</topic><topic>Office Visits - statistics & numerical data</topic><topic>Patient Care Planning - statistics & numerical data</topic><topic>Patients</topic><topic>Pneumology</topic><topic>Polls & surveys</topic><topic>Practice Patterns, Physicians' - statistics & numerical data</topic><topic>Questionnaires</topic><topic>Surveys and Questionnaires</topic><topic>Workloads</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zwar, Nicholas A</creatorcontrib><creatorcontrib>Hasan, Iqbal</creatorcontrib><creatorcontrib>Comino, Elizabeth J</creatorcontrib><creatorcontrib>Harris, Mark F</creatorcontrib><creatorcontrib>Primary Health Care Research Network</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>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Medical journal of Australia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zwar, Nicholas A</au><au>Hasan, Iqbal</au><au>Comino, Elizabeth J</au><au>Harris, Mark F</au><aucorp>Primary Health Care Research Network</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>General practitioner views on barriers and facilitators to implementation of the Asthma 3+ Visit Plan</atitle><jtitle>Medical journal of Australia</jtitle><addtitle>Med J Aust</addtitle><date>2005-07-18</date><risdate>2005</risdate><volume>183</volume><issue>2</issue><spage>64</spage><epage>67</epage><pages>64-67</pages><issn>0025-729X</issn><eissn>1326-5377</eissn><coden>MJAUAJ</coden><abstract>Aim: The Asthma 3+ Visit Plan is an initiative to promote organised asthma care in general practice. This study aimed to identify factors associated with uptake of the plan by general practitioners, and their views on barriers and facilitators to implementation of the plan.
Design: Postal survey sent to a random sample of GPs.
Participants and setting: 315 GPs in five Divisions of General Practice in metropolitan Sydney, surveyed sequentially between 1 October 2002 and 31 May 2003.
Outcome measures: Awareness and use of the Asthma 3+ Visit Plan; GP and practice factors associated with use of the plan; and GP views on barriers and facilitators to implementing the plan.
Results: The response rate was 55.7%, and 72.1% of participants were male; participants’ mean age was 50.5 years. Most GPs (91.2%) were aware of the plan and and 44.9% had used it. GP and practice factors associated with use of the plan were use of the six‐step Australian Asthma Management Plan, confidence in aspects of asthma care, practice accreditation, sign‐up for asthma incentives, and computerisation. Major barriers to implementing the plan were workload/paperwork and administrative complexities. Patient factors that influenced completion of the plan were their concept of the severity of their asthma, compliance with follow‐up, and patient attitudes towards asthma care.
Conclusion: The perceived workload and administrative complexity of the asthma incentives are barriers to uptake. Factors relating to the illness rather than social factors are seen as the most important influences on completion of the plan by patients.</abstract><cop>Sydney</cop><pub>Australasian Medical Publishing Company</pub><pmid>16022608</pmid><doi>10.5694/j.1326-5377.2005.tb06923.x</doi><tpages>4</tpages></addata></record> |
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| ispartof | Medical journal of Australia, 2005-07, Vol.183 (2), p.64-67 |
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| subjects | Aged Asthma Asthma - therapy Attitude of Health Personnel Biological and medical sciences Chronic obstructive pulmonary disease, asthma Clinical Competence - statistics & numerical data Diabetes Family Practice - methods Family Practice - statistics & numerical data Female General aspects Health Care Surveys Humans Incentives Male Medical sciences Medical screening Middle Aged New South Wales Office Visits - statistics & numerical data Patient Care Planning - statistics & numerical data Patients Pneumology Polls & surveys Practice Patterns, Physicians' - statistics & numerical data Questionnaires Surveys and Questionnaires Workloads |
| title | General practitioner views on barriers and facilitators to implementation of the Asthma 3+ Visit Plan |
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