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. 2003 Jun;7(6):592-8.

The asthma programme of Finland: an evaluation survey in primary health care

M Erhola  1 , R Mäkinen, K Koskela, V Bergman, T Klaukka, M Mäkelä, L Tirkkonen, M Kaila
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  • PMID: 12797704

The asthma programme of Finland: an evaluation survey in primary health care

M Erhola et al. Int J Tuberc Lung Dis. 2003 Jun.

Abstract

Objective: To evaluate the basic structures and processes of asthma care 6 years after the launch of the Finnish Asthma Programme. The evaluation will serve as the baseline for the implementation of the evidence-based guidelines for asthma published in 2000.

Design: A descriptive type-2 evaluation (managerial monitoring of a policy implementation), based on operationalised statements of the Asthma Programme.

Results: A co-ordinating doctor for asthma, usually a general practitioner (GP), was interviewed in 248 (91%) health centres; 83% of the health centres have at least one GP nominated as the local asthma co-ordinator and 94% have a nurse. Asthma education for the professionals had been organised in 71% of the health centres in the previous 2 years. First-line treatment consists of an inhaled corticosteroid. Guided self-management is used in 98% of the health centres, but its components were not clear to the doctors.

Conclusion: The basic structure of equipment and organisation for the diagnosis and treatment of asthma has been set up in the primary health care services.

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