Nya kriterier för astma/KOL-mottagningar i primärvården - Patientutbildning, rökslutarstöd och fysisk aktivitet är prioriterat – även fysioterapeut bör inkluderas i teamet

Lakartidningen. 2018 Jan 29:115:EWLT.
[Article in Swedish]

Abstract

Updated criterias for an asthma/COPD clinic in primary care based on Swedish guidelines We here present updated criterias for an asthma/COPD clinic in primary care based on Swedish guidelines and an estimate of the time required for its tasks. Certified staff should assist in diagnosis and follow-up of asthma/COPD patients, provide patient education, provide and follow up written management plans, facilitate smoking cessation in patients and parents of children with asthma, evaluate symptoms with validated tools (ACT, CAT), and assess and support physical activity. To provide such care, 4.8 hours are required for asthma/COPD nurses and 1.3 hours for physiotherapists per 1,000 listed patients and week. At least 1-2 hours/week are needed for the responsible physician. To ensure high competence, asthma/COPD nurses should have ≥15 credits, advanced level, and physiotherapists ≥7.5 credits in asthma/COPD, advanced level. The responsible physician should have advanced knowledge in the field.

MeSH terms

  • Asthma / diagnosis
  • Asthma / therapy*
  • Exercise
  • Humans
  • Interprofessional Relations
  • Patient Care Team
  • Patient Education as Topic
  • Physical Therapy Modalities
  • Practice Guidelines as Topic
  • Primary Health Care*
  • Pulmonary Disease, Chronic Obstructive / diagnosis
  • Pulmonary Disease, Chronic Obstructive / therapy*
  • Smoking Cessation
  • Sweden
  • Time Management