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Thorax 2004;59:87-88; doi:10.1136/thx.2003.016451
Copyright © 2004 BMJ Publishing Group Ltd & British Thoracic Society.
Thorax 2004;59:87-88
© 2004 BMJ Publishing Group Ltd & British Thoracic Society

EDITORIAL

Written asthma action plans

Written asthma action plans

M R Partridge

Correspondence to:
Correspondence to:
M R Partridge
Imperial College of Science, Technology and Medicine, Charing Cross Hospital Campus, London W6 8RP, UK; m.partridge@imperial.ac.uk


More widespread use of written asthma action plans should be encouraged

Keywords: asthma; asthma action plan

The first 150 words of the full text of this article appear below.

The first British guidelines for the management of asthma in adults published in 1990 clearly recommended self-management of asthma. The exact statement read: "As far as possible, patients should be trained to manage their own treatment rather than be required to consult their doctor before making changes".1 Similar advice has been repeated in subsequent revisions of the UK guidelines2–4 and in the NHLBI global strategy for asthma management and prevention.5

The evidence base for these recommendations is strong, and 36 trials comparing self-management education with usual care were reviewed for the Cochrane Library.6 This review suggested that self-management education could be associated with a reduction in hospital admissions of up to 40%, a reduction in emergency room visits of 20%, and similarly impressive reductions in unscheduled visits to the doctor, night time symptoms, and days off work or school. The authors concluded that training programmes that . . . [Full text of this article]


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