Evidence map›Paper›PMID 30940806›Full record

ArticleNPJ primary care respiratory medicine2019

Asthma patients' perception on their care pathway: a qualitative study.

Anissa Hannane, Lilia Misane, Gilles Devouassoux, Cyrille Colin, Laurent Letrilliart

Open access · goldAbstract read
In one paragraph

Article in NPJ primary care respiratory medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. The experience of shared decision-making for people with asthma: A systematic review and metasynthesis of qualitative studies.Health expectations : an international journal of public participation in health care and health policy · 2024
    Pooled it
  2. Caring for the allergic patient - WAO White Book on Allergy 2026 - 1.The World Allergy Organization journal · 2026
    Review
  3. Observational
  4. Review
  5. Article
  6. Article
  7. The Path to Diagnosis of Severe Asthma-A Qualitative Exploration.International journal of general medicine · 2024
    Article
  8. Asthma severity: the patient's point of view.European clinical respiratory journal · 2024
    Article
  9. Global Considerations in Asthma Treatment: Management in Low Resource Settings.Advances in experimental medicine and biology · 2023
    Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Perspectives on decisions for treatment and care in severe asthma.The World Allergy Organization journal · 2021
    Review
  17. Article
  18. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Anissa HannaneUniv. Lyon, Université Claude Bernard Lyon 1, Collège universitaire de médecine générale, F-69008, Lyon, France.
Lilia MisaneUniv. Lyon, Université Claude Bernard Lyon 1, Collège universitaire de médecine générale, F-69008, Lyon, France.
Gilles DevouassouxUniv. Lyon, Université Claude-Bernard Lyon 1, Lyon, F-69008, France.
Cyrille ColinUnité d'Evaluation Médico-Economique, Pôle Information Médicale Evaluation Recherche, Hospices Civils de Lyon, 69003, Lyon, France.
Laurent LetrilliartUniv. Lyon, Université Claude Bernard Lyon 1, Collège universitaire de médecine générale, F-69008, Lyon, France. laurent.letrilliart@univ-lyon1.fr.
Université Claude Bernard Lyon 1 · FRHospices Civils de Lyon · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Because of insufficient asthma control in many patients, the collaboration between stakeholders is regarded as a promising strategy to improve asthma outcomes. This study explored the perceptions of French adult asthma patients on their care pathway. We conducted a qualitative study based on the interviews of 30 asthma patients aged 18-40 years, recruited in French primary care. We performed a thematic analysis of the data collected, using the NVivo software. According to the patients, the stakeholders involved in asthma management included those visible to healthcare professionals (patient, general practitioner, specialist(s), pharmacist, physiotherapist, family and friends) and those concealed by the patients (complementary and alternative practitioners); other stakeholders, such as nurses and occupational physicians, were not involved. Asthma management at diagnosis and follow-up phases proved to be unstructured, and were associated with poor patient education. This was supported by patients' ambivalence (in relation to illness and treatments), poor communication between patients and healthcare professionals (lack of listening and use of inappropriate vocabulary by physicians, underreporting of alternative medicine use by patients) and weak cooperation between professionals (limited to interaction between the general practitioner and the specialist, either pulmonologist or allergist). Asthma management would probably benefit from a more coordinated care pathway at each phase of the disease that is consistent with the expectations and goals of the patients. It should be based on improved organization (involvement of other healthcare professionals and the patient as partners) and processes (regular follow-up, specific tools such as peak flow meter or action plan).

Indexed as

Attitude to HealthCritical PathwaysAdolescentAdultAsthmaCommunicationFemaleFranceHumansInterviews as TopicMalePatient Education as TopicPatient SatisfactionPhysician-Patient RelationsQualitative ResearchYoung Adult

Identifiers

PMID30940806
PMCPMC6445145
OpenAlexW2928784888

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.