PURPOSE: To evaluate documentation of compliance with national asthma guidelines in two different clinical environments and correlate documentation of compliance with asthma control.
METHODS: A list of all asthma patients seen at the internal medicine (IM) faculty and resident based clinic was generated using the billing code for asthma. The asthma patients were contacted by telephone and asked to complete an ACT (Asthma Control Test) questionnaire prior to their next clinic visit. The patient's medical records were then evaluated for documentation of 12 different parameters in their asthma management during their last three clinic visits.
RESULTS: Nineteen patients from the resident based IM clinic and fourteen patients from the faculty based IM clinic were enrolled into the study. The mean ACT score in the residency clinic was 22.7 and 21.8 for the faculty clinic. There were 3 patients that had an ACT score of 19 or less, representing uncontrolled asthma. The patient's and physician's perception of asthma control was in agreement in 29/32 (90.6%) patients. The mean score for compliance to the 12 parameters from the asthma guidelines was 23% in the resident based clinic and the 22% in the faculty based clinic. The overall mean score for patients with an ACT score of less than 21 was higher than patients with a higher ACT score (35.6% vs. 19%).
CONCLUSION: Overall management of asthma were similar in an IM faculty and resident based clinic. Patients with an ACT score lower than 21 had an improved documentation of compliance with national asthma guidelines. There was a high agreement between patient and physician (faculty and resident) perception of asthma control.
CLINICAL IMPLICATIONS: Asthma management was similar in two different clinical environments.
DISCLOSURE: Toshita Kumar, Grant monies (from industry related sources) Unrestricted grant from Schering-Plough; No Product/Research Disclosure Information