https://scholars.lib.ntu.edu.tw/handle/123456789/530812
標題: | Budesonide/formoterol combination as a maintenance and rescue therapy | 作者: | Su K.-C. Tsai C.-C. LU-CHENG KUO Kuo S.-H. Perng D.-W. |
公開日期: | 2009 | 卷: | 46 | 期: | 7 | 起(迄)頁: | 647-651 | 來源出版物: | Journal of Asthma | 摘要: | Background. To investigate the rationale of clinicians when treating asthmatics with combined budesonide/formoterol in a single inhaler as a maintenance and rescue therapy (BFMRT). Methods. A questionnaire was used to investigate, from the perspective of outpatient clinic physicians, why, how, and for whom BFMRT should be prescribed. Participants (N = 274) were employed in medical centers, regional hospitals, district hospitals, and private clinics; the majority of the clinicians were pulmonologists (75.5%). Results. Most participants (84.9%) prescribed BFMRT primarily because of its convenience; 60.4% prescribed 1 puff (budesonide/formoterol, 160/4.5 μg/puff) twice daily ad as needed and 38.5% 2 puffs twice daily and as needed; 70.4% did not insist that patients use budesonide/formoterol as a rescue treatment. There was no agreement on the dose (1 or 2 puffs as needed) or interval (5, 10, or 20 min) required for rescue treatment. Almost half (48.2%) of the physicians reported that they would not prescribe BFMRT because of patients' lack of understanding of the treatment. Further analysis showed that physicians practicing in medical centers, those specializing in chest medicine, and those working in higher socioeconomic regions may appreciate the benefits of BFMRT more than non-pulmonologists, those working in settings other than medical centers, and those employed in lower socioeconomic areas. Conclusions. More effort needs to be expended in the education of physicians responsible for asthma management, non-pulmonologists, those working outside of medical centers, and those practicing in rural areas in new treatment concepts to achieve optimal asthma control throughout the country. ? 2009 Informa Healthcare USA, Inc. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-70249111129&doi=10.1080%2f02770900902929491&partnerID=40&md5=80eb8da928f387119f12783032e41e75 https://scholars.lib.ntu.edu.tw/handle/123456789/530812 |
ISSN: | 0277-0903 | DOI: | 10.1080/02770900902929491 | SDG/關鍵字: | budesonide plus formoterol; article; asthma; clinical decision making; cost benefit analysis; educational status; emergency treatment; health care access; human; maintenance therapy; medical practice; medical specialist; prescription; rural area; social status; socioeconomics; treatment planning; Administration, Inhalation; Asthma; Bronchodilator Agents; Budesonide; Drug Combinations; Ethanolamines; Health Care Surveys; Health Facilities; Health Knowledge, Attitudes, Practice; Humans; Interviews as Topic; Physician's Practice Patterns; Physician-Patient Relations; Physicians; Questionnaires; Specialties, Medical |
顯示於: | 醫學系 |
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