Abstract

BAZAN-RIVERON, Georgina Eugenia et al. Medical management and general practitioners’ comparison of the perspective on upgrade in asthma. Neumol. cir. torax [online]. 2017, vol.76, n.4, pp.299-307. ISSN 0028-3746.

Recent studies highlight the need to update physicians on the international guidelines for the management of asthma. Objective was to explore the social, work, administrative and personal variables, as well as continuing education in asthma. Forty physicians took part (20 from medical managements and 20 general-practitioners), 82.5% males and 17.5% females, between 34-67 years of age (average = 51.5; DT = 9.5), which hinder updating from the aforementioned groups’ perspective. Both were interviewed and analyzed by performing the χ2 test and kappa coefficient. Results show differences between the two groups, since managements deem that general-practitioners continuing education is limited due to their poor command of English and computing, whereas general-practitioners consider that the distance they have to travel to update their knowledge is problematic (χ2 = 7.84; p < .05); as far as administrative variables are concerned, general-practitioners point out management’s poor planning and a lack of institutional support. On another hand, managements complain about general-practitioners disinterest and little commitment (χ2 = 17.477; p < .01). Despite these differences, both groups agree on a poor knowledge of asthma (kappa = 0.93; IC = 0.95%: 0.90-1), and, they deem that being a woman is a disadvantage for knowledge updating. Likewise, occupationally speaking, managements and general-practitioners indicated an overload of work. Conclusions show more support is required to improve knowledge of asthma, command of English and computing.

Keywords : General practitioners; asthma knowledge updating; GINA.

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