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Table 2 Pre-Intervention and During Intervention Spirometry Usage in Patients with Asthma

From: Effects of a 12-month multi-faceted mentoring intervention on knowledge, quality, and usage of spirometry in primary care: a before-and-after study

Site

1

2

3

5

 

Pre

During

Pre

During

Pre

During

Pre

During

Total patients (under the care of mentees) (≥6 years of age)

1499

1594

2814

2838

5686

5647

10806

10806

Patients with asthma

83i

90i

269i

322i

264j

224j

1655k

1677k

Proportion of visits for respiratory complaintsl in which spirometry was ordered (%)

6/40 (15 %)

29/32 (91 %)a

19/131 (14 %)

15/55 (27 %)b

35/141 (25 %)

26/113 (23 %)c

15/200 (7.5 %)

59/136 (43 %)d

Proportion of visits for non-respiratory complaints in which spirometry was ordered (%)

4/156 (2.6 %)

21/269 (7.8 %)e

4/706 (0.6 %)

0/601 (0 %)f

5/896 (0.6 %)

9/602 (1.5 %)g

7/1732 (0.4 %)

6/1177 (0.5 %)h

  1. Please see Fig. 2 for individual site charactersitics
  2. ap < 0.01; bp = 0.04; cp = 0.74; dp < 0.01; ep = 0.03; fp = 0.13; gp = 0.06; hp = 0.68 *please note that these values were not corrected for any possible effects of nesting within mentor pods
  3. iidentified through a free-word “asthma” used in the clinical chart; or “asthma” in the problem list or past health history; or use of the asthma billing code in last 1 year [37], followed by a manual review to remove all patients who did not have a clinical diagnosis of asthma and/or who had a clinical diagnosis of COPD
  4. jIdentified through a free-word “asthma” used in the clinical chart; or “asthma” in the problem list or past health history [37], followed by a manual review to remove all patients who did not have a clinical diagnosis of asthma and/or who had a clinical diagnosis of COPD
  5. kidentified through a search for patient with an active prescription for an asthma medication, followed by removal of any patients in whom a COPD billing code had been used in the past or who had “COPD” in the problem list or past health history [37]
  6. lvisits where the chief complaint was cough, wheeze, short of breath, or upper/lower respiratory tract infection