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IPCRG Exchanges 2 questionnaire

As you know, there are recent updates to the GINA and ARIA guidelines as well as a new childhood asthma consensus statement (PRACTALL) and the recently published IPCRG guidelines.

A. Guidelines updates & new guidelines

  1. Were you previously aware of these updates and new guidelines? And how aware do you think your primary care colleagues are of these documents?
  2. Does the summary I sent to you coincide with your interpretation of these documents?
  3. Are you surprised by any of the recommendations?
  4. Will you change your practices in any way based on these new recommendations? And if so, how?
  5. Do you have any other comments or reactions to the new and updated guidelines?

B. General attitude toward and use of guidelines

  1. Do you refer to asthma management guidelines for guidance in treating your patients?
    1. If so, which ones? And why those ones?
    2. Are they useful? If so, how?
  2. Do you refer to any of these guidelines for guidance in managing your patients with suspected or known allergy?
    1. If so, which ones? And why those ones?
    2. Are they useful? If so, how?
  3. Do these guidelines adequately describe the differences in approach to children versus adults with asthma and allergy?
  4. In your opinion, what features of guidelines make them most accessible to clinicians in primary care?
  5. In your opinion, what are the barriers to using asthma guidelines for primary care physicians? Possible barriers:
      1. (lack of) Awareness & knowledge—of what needs to change & why
      2. (lack of) Motivation—drive & desire to improve care, priorities
      3. (lack of) Acceptance & beliefs—perceptions of benefits vs costs of proposed change
      4. (lack of) Skills
      5. Practicalities—(lack of ) availability of resources, personnel
      6. External environment—financial, political, and organizational
  6.  What do you think are the benefits versus the drawbacks of local/regional vs national vs international guidelines?

The IPCRG has recently published an open-access paper describing the debate titled “Can asthma control be improved by understanding the patients perspective?” Moreover, the IPCRG is working to define and develop the tools needed by clinicians and patients to improve asthma control.

  1. What is needed, from your perspective, to best understand your patients’ perspectives toward their asthma?
  2. What is your opinion of patient education through mass education campaigns? Does this help you in educating your patients about asthma and allergy?
  3. What tools do you use in diagnosing asthma & assessing asthma control?
  4. What tools do you need that you do not have?
  5. What would you like the IPCRG to do to help you in managing your patients with asthma and/or allergy?
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