在初级保健环境中对哮喘患者进行个性化管理和支持。

IF 2.9 3区 医学 Q2 RESPIRATORY SYSTEM
Expert Review of Respiratory Medicine Pub Date : 2023-07-01 Epub Date: 2023-08-03 DOI:10.1080/17476348.2023.2241357
Hilary Pinnock, Mike Noble, David Lo, Kirstie McClatchey, Viv Marsh, Chi Yan Hui
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引用次数: 0

摘要

引言:作为对生物医学表型认识的补充,哮喘护理的初级保健方法在人群和个人层面上认识到疾病、健康信念和生活方式的多样性。涵盖的领域:我们回顾了与哮喘初级保健管理特别相关的个性化护理的六个方面:为哮喘患者提供个性化支持;针对人群的哮喘护理;管理学龄前喘息儿童的表型;个性化管理;满足提供哮喘护理的个人偏好;优化数字化方法以增强个性化护理。专家意见:在初级保健环境中,个性化管理和支持哮喘患者超越了当代生物学表型和药理学“可治疗特征”的概念,包括基于证据的个性化自我管理支持,以及提供以患者为中心的护理,包括动机访谈。它延伸到我们如何组织临床实践以及在咨询模式中提供的选择。学前喘息表型识别导致的诊断不确定性仍然是初级保健面临的挑战。数字健康可以支持个性化管理,但人们担心不公平现象会加剧。这种广泛的方法反映了初级保健的传统整体精神(“了解患者和了解社区”),但核心概念与所有医疗保健产生了共鸣。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Personalised management and supporting individuals to live with their asthma in a primary care setting.

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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来源期刊
CiteScore
6.80
自引率
2.60%
发文量
90
期刊介绍: Coverage will include the following key areas: - Prospects for new and emerging therapeutics - Epidemiology of disease - Preventive strategies - All aspects of COPD, from patient self-management to systemic effects of the disease and comorbidities - Improved diagnostic methods, including imaging techniques, biomarkers and physiological tests. - Advances in the treatment of respiratory infections and drug resistance issues - Occupational and environmental factors - Progress in smoking intervention and cessation methods - Disease and treatment issues for defined populations, such as children and the elderly - Respiratory intensive and critical care - Updates on the status and advances of specific disease areas, including asthma, HIV/AIDS-related disease, cystic fibrosis, COPD and sleep-disordered breathing morbidity
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