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Personalised management and supporting individuals to live with their asthma in a primary care setting.pdf (4.24 MB)

Personalised management and supporting individuals to live with their asthma in a primary care setting

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journal contribution
posted on 2023-11-30, 09:51 authored by H Pinnock, M Noble, D Lo, K McClatchey, V Marsh, CY Hui

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.

History

Author affiliation

Department of Respiratory Sciences, University of Leicester

Version

  • VoR (Version of Record)

Published in

Expert Review of Respiratory Medicine

Volume

17

Issue

7

Pagination

577 - 596

Publisher

Informa UK Limited

issn

1747-6348

eissn

1747-6356

Copyright date

2023

Available date

2023-11-30

Spatial coverage

England

Language

eng

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