Diagnosing asthma in adults in primary care: a qualitative study of Australian GPs' experiences

Prim Care Respir J. 2010 Mar;19(1):52-6. doi: 10.4104/pcrj.2009.00046.

Abstract

Aim: To explore what difficulties are faced by general practitioners (GPs) when trying to make a diagnosis of asthma in adults, and whether there are patient characteristics that influence this process.

Methods: A qualitative study in which three focus group discussions were conducted with 18 GPs.

Results: GPs were confident with the components needed to confirm a diagnosis of asthma but not with the use of spirometry. GPs said that time was an important factor - time to undertake the tests in their practice, and time to persuade the patient to engage in the diagnostic process including follow-up visits. Patients who were less willing to engage in this process were likely to be treated symptomatically.

Conclusion: Continuity of care is important. A diagnosis of asthma seems to be more likely in patients with an ongoing relationship with their GP where both are willing to engage in the diagnostic process.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Asthma / diagnosis*
  • Attitude of Health Personnel
  • Australia
  • Clinical Competence*
  • Female
  • Focus Groups
  • Humans
  • Male
  • Patient Acceptance of Health Care*
  • Physician-Patient Relations*
  • Physicians, Family / psychology*
  • Primary Health Care
  • Qualitative Research
  • Spirometry