The next step was to convene a person-centred review meeting, which I facilitated and which was attended by everyone involved.
19 Asthma guidelines recommend patient-centred review, including adherence, and that treatment beliefs are addressed.
The development of effective tools to facilitate more efficient, patient-centred review of asthma in primary care is vital to improving asthma control and patient quality of life.
The identification of non-adherence as a cause of poor control, and the factors contributing to poor adherence, has increased recognition of the need for individual patient-centred reviews.
GPs allocated to the intervention arm will receive an educational intervention: (1) on performing a narrative doctor-patient-dialogue reflecting treatment targets and priorities of the patient, and (2) on performing a narrative patient-centred medication review.
Intervention: GPs allocated to this group will receive a multifaceted educational intervention on performing a narrative doctor-patient dialogue reflecting treatment targets and priorities of the patient and on performing a narrative patient-centred medication review.
Adherence will be measured using rulers to assess motivation to change, level of achievement of patient-centred goals and review of action steps taken in patient action plans.
The type of audit we implemented could be labelled "hospital-based multi-professional patient-centred near-miss case review".
However, complex care models such as the ACE programme (including patient-centred care, frequent medical review, early rehabilitation, and early discharge planning) are difficult to implement in acute hospital wards on a routine basis [ 31].
Originally developed to curb preventable functional decline experienced by older patients admitted to acute medical hospital wards, the Acute Care for the Elderly model emphasizes: (1) a specialized environment, (2) patient-centred care, (3) medical review, and (4) interdisciplinary team plans of care.
A review on couple centred counselling shows that partner involvement in HIV testing not only helps to increase disclosure, condom use and uptake of ARV prophylaxis but also contributes to the lower rate of seroconversion compared to individual counselling [ 8].
