A questionnaire survey of patient's views on telephone and surgery reviews for asthma in UK primary care

Abstract

Background:

Telephone consultations offer an efficient and effective option for the routine review of adults with symptomatic asthma. [Pinnock et al, BMJ 2003;326:477–9]

Objective:

To identify patients' preferences for modes of delivering asthma care.

Methods:

Semi-structured questionnaire survey of all 278 patients enrolled in a randomised controlled trial about their preference for future asthma reviews and reasons for their choice. Quantitative analyses were undertaken of categorical and continuous data and qualitative analysis of free text responses.

Results:

Of the 209 respondents (75% response rate) 70 (33%) preferred telephone, 35 (17%) preferred surgery and 104 (50%) had no preference. The difference in responses amongst those randomised to the telephone arm and those in the surgery arm was not significant (chi2=5.03; p=0.08). Those preferring telephone reviews commonly cited convenience for people at work or with domestic commitments. Telephone consultations overcame mobility and transport problems and cost patients less in time and money. Concerns were occasionally expressed about problems with confidentiality, particularly when calls were taken at work and a few patients observed that the phone call caught them unprepared. Those preferring surgery consultations believed them to be more personal, facilitating a relaxed consultation and allowing a more in-depth assessment. Many respondents felt that, as their asthma was mild and well controlled, telephone reviews were ideal as they were quick and convenient. If they perceived a problem with their asthma they would make an appointment at the surgery.

Conclusion:

Many adults appear to appreciate the convenience of telephone reviews. General practices should consider including a telephone option as part of their routine asthma service