A multi-stakeholder perspective on asthma care in Canada: findings from a mixed methods needs assessment in the treatment and management of asthma in adults
Abstract Background Although several aspects of asthma care have been identified as being sub-optimal in Canada, such as patient education, practice guideline adoption, and access to care, there remains a need to determine the extent to which these gaps remain, so as to investigate their underlying...
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| Format: | Article |
| Language: | English |
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BMC
2018-09-01
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| Series: | Allergy, Asthma & Clinical Immunology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13223-018-0261-x |
| _version_ | 1818821278611537920 |
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| author | Suzanne Murray Sara Labbé Alan Kaplan Kristine Petrasko Susan Waserman |
| author_facet | Suzanne Murray Sara Labbé Alan Kaplan Kristine Petrasko Susan Waserman |
| author_sort | Suzanne Murray |
| collection | DOAJ |
| description | Abstract Background Although several aspects of asthma care have been identified as being sub-optimal in Canada, such as patient education, practice guideline adoption, and access to care, there remains a need to determine the extent to which these gaps remain, so as to investigate their underlying causes, and potential solutions. Methods An ethics-approved mixed methods educational needs assessment was conducted in four Canadian provinces (Alberta, British Columbia, Ontario, and Quebec), combining a qualitative phase (45-min semi-structured interviews with community-based healthcare providers and key stakeholders) and a quantitative phase (15-min survey, healthcare providers only). Results A total of 234 participants were included in the study, 44 in semi-structured interviews and 190 in the online survey. Five clinical areas were reported to be suboptimal by multiple categories of participants, and specific causes were identified for each. These areas included: Integration of guidelines into clinical practice, use of spirometry, individualisation of asthma devices to patient needs, emphasis on patient adherence and self-management, and clarity regarding roles and responsibilities of different members of the asthma healthcare team. Common causes for gaps in all these areas included suboptimal knowledge amongst healthcare providers, differing perceptions on the importance of certain interventions, and inadequate communication between healthcare providers. Conclusions This study provides a better understanding of the specific causes underlying common gaps and challenges in asthma care in Canada. This information can inform future continuing medical education, and help providers in community settings obtain access to adequate materials, resources, and training to support optimal care of adult patients with asthma. |
| first_indexed | 2024-12-18T23:05:39Z |
| format | Article |
| id | doaj.art-3f24fe3664ea4614b84ed834f9eca757 |
| institution | Directory Open Access Journal |
| issn | 1710-1492 |
| language | English |
| last_indexed | 2024-12-18T23:05:39Z |
| publishDate | 2018-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Allergy, Asthma & Clinical Immunology |
| spelling | doaj.art-3f24fe3664ea4614b84ed834f9eca7572022-12-21T20:48:26ZengBMCAllergy, Asthma & Clinical Immunology1710-14922018-09-0114111310.1186/s13223-018-0261-xA multi-stakeholder perspective on asthma care in Canada: findings from a mixed methods needs assessment in the treatment and management of asthma in adultsSuzanne Murray0Sara Labbé1Alan Kaplan2Kristine Petrasko3Susan Waserman4AXDEV Group Inc.AXDEV Group Inc.Department of Family and Community Medicine, University of TorontoWinnipeg Regional Health AuthorityDivision of Clinical Immunology and Allergy, McMaster UniversityAbstract Background Although several aspects of asthma care have been identified as being sub-optimal in Canada, such as patient education, practice guideline adoption, and access to care, there remains a need to determine the extent to which these gaps remain, so as to investigate their underlying causes, and potential solutions. Methods An ethics-approved mixed methods educational needs assessment was conducted in four Canadian provinces (Alberta, British Columbia, Ontario, and Quebec), combining a qualitative phase (45-min semi-structured interviews with community-based healthcare providers and key stakeholders) and a quantitative phase (15-min survey, healthcare providers only). Results A total of 234 participants were included in the study, 44 in semi-structured interviews and 190 in the online survey. Five clinical areas were reported to be suboptimal by multiple categories of participants, and specific causes were identified for each. These areas included: Integration of guidelines into clinical practice, use of spirometry, individualisation of asthma devices to patient needs, emphasis on patient adherence and self-management, and clarity regarding roles and responsibilities of different members of the asthma healthcare team. Common causes for gaps in all these areas included suboptimal knowledge amongst healthcare providers, differing perceptions on the importance of certain interventions, and inadequate communication between healthcare providers. Conclusions This study provides a better understanding of the specific causes underlying common gaps and challenges in asthma care in Canada. This information can inform future continuing medical education, and help providers in community settings obtain access to adequate materials, resources, and training to support optimal care of adult patients with asthma.http://link.springer.com/article/10.1186/s13223-018-0261-xNeeds assessmentAsthmaContinuing medical educationMixed-methodsClinical challengesClinical practice |
| spellingShingle | Suzanne Murray Sara Labbé Alan Kaplan Kristine Petrasko Susan Waserman A multi-stakeholder perspective on asthma care in Canada: findings from a mixed methods needs assessment in the treatment and management of asthma in adults Allergy, Asthma & Clinical Immunology Needs assessment Asthma Continuing medical education Mixed-methods Clinical challenges Clinical practice |
| title | A multi-stakeholder perspective on asthma care in Canada: findings from a mixed methods needs assessment in the treatment and management of asthma in adults |
| title_full | A multi-stakeholder perspective on asthma care in Canada: findings from a mixed methods needs assessment in the treatment and management of asthma in adults |
| title_fullStr | A multi-stakeholder perspective on asthma care in Canada: findings from a mixed methods needs assessment in the treatment and management of asthma in adults |
| title_full_unstemmed | A multi-stakeholder perspective on asthma care in Canada: findings from a mixed methods needs assessment in the treatment and management of asthma in adults |
| title_short | A multi-stakeholder perspective on asthma care in Canada: findings from a mixed methods needs assessment in the treatment and management of asthma in adults |
| title_sort | multi stakeholder perspective on asthma care in canada findings from a mixed methods needs assessment in the treatment and management of asthma in adults |
| topic | Needs assessment Asthma Continuing medical education Mixed-methods Clinical challenges Clinical practice |
| url | http://link.springer.com/article/10.1186/s13223-018-0261-x |
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