Adherence to many of the key recommendations in the 2007 Guidelines for the Diagnosis and Management of Asthma was found to be low among primary care physicians and asthma specialists, according to a study published in The Journal of Allergy and Clinical Immunology: In Practice.

To examine real-world clinician adherence to these guidelines, as well as agreement and self-efficacy, researchers analyzed data from the 2012 National Asthma Survey of Physicians. A total of 1,412 primary care clinicians and 233 asthma specialists took part. The survey focused on 4 guideline domains; asthma control, patient education, environmental control, and pharmacologic treatment

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The results showed that asthma specialists had greater agreement, higher self-efficacy, and adherence to the recommendations than primary care physicians. However, adherence was still low among both groups. Between asthma specialists and primary care physicians a written asthma action plan was carried out by 30.6% and 16.4%(P<0.001), home peak flow monitoring by 12.8% and 11.2% (P=0.34), repeated inhaler technique assessment by 39.7% and 16.8% (P<0.001) and spirometry testing by 44.7% and 10.8% of clinicians, respectively (P<0.001).

“Self-efficacy was a good predictor of guideline adherence among primary care clinicians but not among specialists,” the authors concluded.

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