Table 2 Themes and subthemes of the results.
From: Implementing asthma management guidelines in public primary care clinics in Malaysia
Theme | Subtheme |
|---|---|
(1) Challenges in organising asthma care services with limited infrastructure | • Struggles in organising asthma care within existing clinic models and available resources • Lack of priority for asthma care compared to other established national programmes |
(2) Challenges related to diagnostic assessment and review of asthma control | • Limited objective tests available for asthma diagnosis and review of control • Challenge in performing peak expiratory flow measurement • Competency of allied health staffs in assessment of acute asthma attacks |
(3) Challenges in delivering asthma treatment plans | • A need for more options of drug therapy and availability of spacer devices • Challenge patient adherence to treatment • Challenges in delivering asthma education and written asthma action plans |
(4) Challenges related to clinic review | • Patients only attend the clinic when symptomatic • A need to strengthen handover of care from hospital emergency department to primary care clinic • Lack of non-attenders tracing systems |
(5) Challenges of training HCPs in asthma management | • The training on self-management education and counselling on written asthma action plan only included HCPs who were in charge of the asthma clinics • The training for nurses and medical assistants needed to address their roles in asthma management |
