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Personalised management and supporting individuals to live with their asthma in a primary care setting.
Pinnock, Hilary; Noble, Mike; Lo, David; McClatchey, Kirstie; Marsh, Viv; Hui, Chi Yan.
Afiliação
  • Pinnock H; Usher Institute, The University of Edinburgh, Edinburgh, UK.
  • Noble M; Whitstable Medical Practice, Whitstable, Kent, UK.
  • Lo D; Primary Care Research Group, Institute of Health Research, University of Exeter Medical School, Exeter, UK.
  • McClatchey K; Acle Medical Centre, Norfolk, UK.
  • Marsh V; Department of Respiratory Sciences, College of Life Sciences, NIHR Biomedical Research Centre (Respiratory Theme), University of Leicester, Leicester, UK.
  • Hui CY; Department of Paediatric Respiratory Medicine, University Hospitals of Leicester NHS Trust, Leicester, UK.
Expert Rev Respir Med ; 17(7): 577-596, 2023.
Article em En | MEDLINE | ID: mdl-37535011
ABSTRACT

INTRODUCTION:

Complementing recognition of biomedical phenotypes, a primary care approach to asthma care recognizes diversity of disease, health beliefs, and lifestyle at a population and individual level. AREAS COVERED We review six aspects of personalized care particularly pertinent to primary care management of asthma personalizing support for individuals living with asthma; targeting asthma care within populations; managing phenotypes of wheezy pre-school children; personalizing management to the individual; meeting individual preferences for provision of asthma care; optimizing digital approaches to enhance personalized care. EXPERT OPINION In a primary care setting, personalized management and supporting individuals to live with asthma extend beyond the contemporary concepts of biological phenotypes and pharmacological 'treatable traits' to encompass evidence-based tailored support for self-management, and delivery of patient-centered care including motivational interviewing. It extends to how we organize clinical practiceand the choices provided in mode of consultation. Diagnostic uncertainty due to recognition of phenotypes of pre-school wheeze remains a challenge for primary care. Digital health can support personalized management, but there are concerns about increasing inequities. This broad approach reflects the traditionally holistic ethos of primary care ('knowing their patients and understanding their communities'), but the core concepts resonate with all healthcare.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Asma Limite: Child / Child, preschool / Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Asma Limite: Child / Child, preschool / Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article