ABS15: International Perspectives on National Asthma Programs

Autor: Justin Beilby, Teresa Burgess
Jazyk: angličtina
Rok vydání: 2006
Předmět:
Popis: INTRODUCTION: There is agreement from the World Health Organisation down, that the most effective way to reduce the morbidity and mortality burden of asthma is to address it at a national level. However, by 2004, few countries had developed national asthma strategies or plans and these included Finland, France, the USA and Australia. OBJECTIVES: • To examine international initiatives in the development and implementation of national asthma programs and policy and identify the key elements required for an effective national asthma program • To review Australia's First National Asthma Program and identify similarities and differences with other international asthma programs METHODS: A review of peer reviewed asthma literature and published policy and program documents available on the world wide web, as well as asthma specific Australian policy documents. RESULTS: Few countries have developed national asthma programs, and those that have used varying models. However all programs contain the following key elements: • Primary prevention (including smoking, occupational exposure, exposure to allergens, breastfeeding etc) • Improved management (medication, spirometry, asthma education, written plans etc) • Systems support (guidelines, detailed monitoring, ongoing epidemiological research, advocacy and planning, policy) In Australia, asthma was made a National Health Priority in 2001 and the First National Asthma Management Program was initiated. Core strategies were: • The Asthma 3+ Visit Plan • Establishment of the Australian Centre for Asthma Monitoring (ACAM) • The Asthma Community Support and Grants Program • The Asthma Innovative Management Initiative • The Asthma Friendly Schools Program • A range of professional education activities CONCLUSION: Primary care as the most appropriate context for systematic asthma care and the importance of community education about asthma are constantly emphasised as core policy elements. A key aspect is the importance of the maintenance of effective and efficient data collection and monitoring systems. Areas of increasing concern include occupational asthma, and the evaluation of national asthma programs. Conflict of interest and funding No conflict of Interest declared.
Databáze: OpenAIRE