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Table 5 Time of initial use and frequency of use in different settings, patients’ and clinicians’ view

From: Implementing the Patient Needs in Asthma Treatment (NEAT) questionnaire in routine care: a qualitative study among patients and health professionals

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

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