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Review of the management of childhood asthma in Tasmania
Citation
Bereznicki, BJ and Norton, LC and Beggs, SA and Gee, P and Bereznicki, LRE, Review of the management of childhood asthma in Tasmania, Journal of Paediatrics and Child Health, 49, (8) pp. 678-683. ISSN 1034-4810 (2013) [Refereed Article]
Copyright Statement
Copyright 2013 The Authors
Abstract
Aim: To review the supply of medications to children with asthma and parent-reported management of childhood asthma in Tasmania and highlight evidence-practice gaps for future interventions.
Methods: Participating pharmacies ran a software application that extracted data from dispensing records and helped to identify children with asthma. Parents of identified children were mailed a survey evaluating components of asthma management. Dispensing and survey data were analysed.
Results: A total of 939 children from 23 pharmacies were identified by the software and deemed eligible for inclusion. Surveys were received from 353 (37.6%) parents. In the past year, short-acting beta-2 agonists were supplied to 56.1% of the cohort, preventers to 76.5% (inhaled corticosteroids 52.3%; leukotriene receptor antagonists 31.3%; inhaled cromones 0.6%), long-acting beta-2 agonists (LABAs) to 25.7% and oral corticosteroids to 21.5%. Approximately half of the children receiving inhaled corticosteroids were concurrently receiving a LABA. Among children with indicators of inadequately controlled asthma, up to 73.7% of their parents reported that their asthma was adequately controlled, up to 38.2% did not possess an Asthma Action Plan, up to 36.8% were not regularly using a spacer and up to 22.8% had not received a preventer.
Conclusion: These results indicate gaps in childhood asthma management, in particular, undersupply of preventers in high-risk patient groups, high supply of LABAs and insufficient spacer and asthma action plan usage. These areas should be targeted for interventions to improve childhood asthma management.Item Details
Item Type: | Refereed Article |
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Keywords: | asthma, childhood, data mining, disease management, drug therapy, pharmacy |
Research Division: | Biomedical and Clinical Sciences |
Research Group: | Pharmacology and pharmaceutical sciences |
Research Field: | Pharmaceutical sciences |
Objective Division: | Health |
Objective Group: | Other health |
Objective Field: | Other health not elsewhere classified |
UTAS Author: | Bereznicki, BJ (Dr Bonnie Bereznicki) |
UTAS Author: | Norton, LC (Miss Lucy Norton) |
UTAS Author: | Beggs, SA (Dr Sean Beggs) |
UTAS Author: | Gee, P (Mr Peter Gee) |
UTAS Author: | Bereznicki, LRE (Professor Luke Bereznicki) |
ID Code: | 84837 |
Year Published: | 2013 |
Web of Science® Times Cited: | 3 |
Deposited By: | Pharmacy |
Deposited On: | 2013-06-04 |
Last Modified: | 2014-05-13 |
Downloads: | 0 |
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