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 2013 The Authors
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 Type:||Refereed Article|
|Keywords:||asthma, childhood, data mining, disease management, drug therapy, pharmacy|
|Research Division:||Medical and Health Sciences|
|Research Group:||Pharmacology and Pharmaceutical Sciences|
|Research Field:||Pharmaceutical Sciences|
|Objective Group:||Other Health|
|Objective Field:||Health not elsewhere classified|
|Author:||Bereznicki, BJ (Dr Bonnie Bereznicki)|
|Author:||Norton, LC (Miss Lucy Norton)|
|Author:||Beggs, SA (Dr Sean Beggs)|
|Author:||Gee, P (Mr Peter Gee)|
|Author:||Bereznicki, LRE (Professor Luke Bereznicki)|
|Web of Science® Times Cited:||2|
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