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Australian Family Physician
Australian Family Physician

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Volume 39, Issue 5, May 2010

Asthma Cycle of Care attendance Overcoming therapeutic inertia using an asthma clinic

Margaret Crawford Patrick D Byrnes Colleen McGoldrick
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Background
The prevalence of asthma is high in Australia. Despite national guidelines recommending the use of an Asthma Action Plan only 22.5% of people with asthma had a plan in 2004–2005.
Discussion
Opportunistic recruitment addressing therapeutic inertia combined with recall may be more effective than active recruitment via telephone.
Results
Completion of an annual Asthma Cycle of Care increased from a baseline of 30% (preclinic starting) to 38% at year 1, 64% at year 2, fell back to 45% at year 3, and rose to 59% at end year 4, with nearly all cycles of care being completed via the asthma clinic.

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