Setting | Initial use | Frequency | ||
---|---|---|---|---|
Patients | Health professionals | Patients | Health professionals | |
General practice/ Pneumological practice | (A) Immediately after diagnosis | (A) Routinely | ||
• Initial overview of needs for patients and health professionals | • Capture changes | • Once a year | ||
• To deal with the disease |  | • Check knowledge level | ||
• Prompt start of treatment | • Correct adverse disease behavior | |||
• To get routine in dealing with asthma | ||||
(B) From the first control appointment | (B) Situation specific | |||
• Time to process diagnosis | • Why poor outcomes? | |||
 | • When patient has already received initial information | • For low asthma control | ||
• For poor drug regimen and medication changes | ||||
• Not directly after exacerbations (too late, too exhausted, questionnaire then insufficient) | • For exacerbations | |||
 | • For low compliance | |||
Disease Management Program (DMP) |  | • Before DMP (as preparation, identification of training needs and evaluation) | (A) Routinely: once per quarter |  |
• Supplementary to physiological measures | ||||
• Feedback for physician | ||||
• Short clarification through physician |  | |||
 | (B) One time: before DMP patient education | |||
(C) Twice: before and after DMP patient education | ||||
• For evaluation: Were unmet needs met? | ||||
Pulmonary rehabilitation | (A) On admission | (A) Twice: On admission and discharge | ||
 | • Need-oriented therapy planning / for more focused education and practice | • For evaluation: Were unmet needs met? | ||
 | • To consider current state of knowledge | • In course of the initial formalities | • As feedback for patients and pulmonary rehabilitation staff | • As information for the outpatient sector |
 | • To inform pulmonary rehabilitation staff about needs |  | • To discuss unmet needs at final ward round | |
 |  |  |  | (B) Twice: On admission and after half the stay |
 |  |  |  | • Possibility to still respond to needs |
 |  |  | (C) One time: at admission |  |