Clinical Medicine Journal
Articles Information
Clinical Medicine Journal, Vol.3, No.1, Feb. 2017, Pub. Date: Jun. 14, 2017
Bronchial Asthma Control Profile at Primary Healthcare Facilities of Dubai Health Authority for the Period 2010-2015 Dubai, UAE, 2016
Pages: 1-9 Views: 297 Downloads: 120
Authors
[01] Taryam M. O., Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[02] Ashtar M. S., Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[03] Monsef N. A., Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[04] Buharoun A. I., Health Centres Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[05] Mubarak Obaid H. A., Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[06] Al Faisal W., Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[07] Hussein H., Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[08] Elbadawi S., Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
Abstract
The morbidity and mortality from asthma appear to be increasing despite changes in medical practice and many advances in treatment of asthma over the years. Most of the deaths are due to relatively acute attacks, although usually against a background of poorly controlled asthma. This study is designed to investigate the level of asthma control, percentage of using inhaled corticosteroids, percentage of sick off days because of asthma, percentage of Asthma flow charts implementation, percentage of additional forms implementation, and percentage of Smokers among asthmatics. Methods: A retrospective records review of registered asthmatic patients was implemented. All registered asthma patients at primary health care facilities of Dubai Health Authority for the period of 2010-2015 were included in the current audit retrieved from SAM IT registry system (Primary Health Care Electronic Medical Record). A convenience sample was chosen. It was composed of 476 in 2010, 341 in 2011, 318 in 2012, 188 in 2013, 450 in 2014, and 440 in 2015. Those patients attended general out patients clinics in PHC. A total number of 59 patients were included in the Bronchial Asthma Miniclinics sample, which involved all attended patients in 2015. Results: The level of controlled asthma in 2015 was 53.4% in General Outpatient Department of PHC (OPD) and 64.9% in Bronchial Asthma mini clinics in PHC. The best level was shown in 2014. As for using inhaled corticosteroids, it was shown that it was 82% in OPD clinics while it was 95% in asthma mini clinic cases. The study reflected significant increasing in use of inhaled corticosteroid. Patients with No sick off days became about 32% at general OPD clinics, and 42% at asthma mini clinics. Improvement of bronchial asthma care was noticed at primary health care settings in Dubai Health Authority. There are still many gaps that needs to be bridged in asthma management system at primary health care to raise the level of control to a higher standard level, like implementing asthma management guidelines, health care givers capacity building and developing asthma management care independently. It is recommended to investigate causes of poor adherence to asthma management in 2015 by primary health care physicians. Addressing gaps will strengthen asthma management care. Adhering to international standards, Continuous professional development and capacity building are factors that are in need to be taken into consideration.
Keywords
Bronchial Asthma, Primary Health Care, Dubai
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