open access

Vol 85, No 4 (2017)
ORIGINAL PAPERS
Published online: 2017-08-28
Submitted: 2017-06-20
Accepted: 2017-08-24
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Selected aspects of medical care for patients with asthma and chronic obstructive pulmonary disease (COPD) in Poland

Joanna Miłkowska-Dymanowska, Adam J. Białas, Paweł Górski
DOI: 10.5603/ARM.2017.0030
·
Adv Respir Med 2017;85(4):179-185.

open access

Vol 85, No 4 (2017)
ORIGINAL PAPERS
Published online: 2017-08-28
Submitted: 2017-06-20
Accepted: 2017-08-24

Abstract

INTRODUCTION: Noncompliance with healthcare undoubtedly has a strong influence on the high prevalence of uncontrolled obstructive diseases. The aim of our study was to evaluate the quality of medical conduct in patients with asthma or chronic obstructive lung diseases (COPD), with encompassed two-levelled system of health care.

MATERIAL AND METHODS: A survey of general practitioners (GP), allergists and pulmonologists practicing in Poland was performed between September and December 2016. The basic survey included the data concerning the number of treated patients, the course of the visits, treatment regimens and whether the patients follow the instructions of the physician. The specialist survey recorded the details of the specialist visits, their frequency and character, an evaluation of the pharmacological and non-pharmacological therapies and an evaluation of the GP’s actions.

RESULTS: The basic questionnaire was completed by 807 doctors with an average of 21 ± 9.85 years of medical experience. Most of the interviewed individuals were GPs (56%), followed by pulmonologists (28%) and allergists (16%). The GP reported 47 cases/month with obstructive pulmonary conditions, including 48.94% asthma and 51.06% COPD patients. They diagnosed three new asthma and COPD patients per month. The allergists treated patients with asthma (105 patients/ month), with 19 newly-diagnosed patients/month. The pulmonologists treated fewer asthma cases than COPD: 71 and 98 patients respectively. They reported 14 patients/month of newly-diagnosed COPD cases. The patients took inhaled glucocorticoids and long-acting b adrenoceptor agonists in separate inhalers. The most frequently-used device was a disc. In opinion of the specialists, half of the therapies initiated recently by GPs for patients with asthma and COPD required modifications.

CONCLUSIONS: There is a disparity between the true state of medical care of asthma and COPD patients and globally-accepted standards.

Abstract

INTRODUCTION: Noncompliance with healthcare undoubtedly has a strong influence on the high prevalence of uncontrolled obstructive diseases. The aim of our study was to evaluate the quality of medical conduct in patients with asthma or chronic obstructive lung diseases (COPD), with encompassed two-levelled system of health care.

MATERIAL AND METHODS: A survey of general practitioners (GP), allergists and pulmonologists practicing in Poland was performed between September and December 2016. The basic survey included the data concerning the number of treated patients, the course of the visits, treatment regimens and whether the patients follow the instructions of the physician. The specialist survey recorded the details of the specialist visits, their frequency and character, an evaluation of the pharmacological and non-pharmacological therapies and an evaluation of the GP’s actions.

RESULTS: The basic questionnaire was completed by 807 doctors with an average of 21 ± 9.85 years of medical experience. Most of the interviewed individuals were GPs (56%), followed by pulmonologists (28%) and allergists (16%). The GP reported 47 cases/month with obstructive pulmonary conditions, including 48.94% asthma and 51.06% COPD patients. They diagnosed three new asthma and COPD patients per month. The allergists treated patients with asthma (105 patients/ month), with 19 newly-diagnosed patients/month. The pulmonologists treated fewer asthma cases than COPD: 71 and 98 patients respectively. They reported 14 patients/month of newly-diagnosed COPD cases. The patients took inhaled glucocorticoids and long-acting b adrenoceptor agonists in separate inhalers. The most frequently-used device was a disc. In opinion of the specialists, half of the therapies initiated recently by GPs for patients with asthma and COPD required modifications.

CONCLUSIONS: There is a disparity between the true state of medical care of asthma and COPD patients and globally-accepted standards.

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Keywords

asthma, COPD, health care

About this article
Title

Selected aspects of medical care for patients with asthma and chronic obstructive pulmonary disease (COPD) in Poland

Journal

Advances in Respiratory Medicine

Issue

Vol 85, No 4 (2017)

Pages

179-185

Published online

2017-08-28

DOI

10.5603/ARM.2017.0030

Bibliographic record

Adv Respir Med 2017;85(4):179-185.

Keywords

asthma
COPD
health care

Authors

Joanna Miłkowska-Dymanowska
Adam J. Białas
Paweł Górski

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