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Two other areas of overlap in guideline recommendations for asthma and COPD included use of spirometry and influenza vaccination.
A great increase in the use of spirometry and knowledge of smoking habits of COPD patients was seen in this specific health care center.
Changes in symptoms were assessed by study staff and led to collection of further information, the use of spirometry and collection of nasal fluid specimens for virological testing.
Our aim was to investigate the use of spirometry and recording of smoking habits of COPD patients in primary health care before and during the COPD programme.
We observed a significant increase in the use of spirometry and knowledge of smoking habits in COPD patients, which may be a result of the Finnish national COPD programme.
Lung function was assessed by measuring the forced expiratory volume in one second (FEV1) with the use of spirometry and expressed as FEV1percentage predicted, according to established criteria [ 13].
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Kaminsky and colleagues have reported improvement in knowledge and use of spirometry through workshops and seminars [ 11].
While the blended capitation model had higher rates of use of spirometry for diagnosis and monitoring, and higher rates of ICS prescriptions, they had lower rates of outpatient visits and higher rates of emergency department visits.
The present study aimed to investigate the use of spirometry in diagnosis and follow-up of COPD patients and recording of smoking habits in a primary health care center before and during the national COPD programme.
Our unit also includes clinical immunology and allergy, and one of our faculty members questioned the American Academy of Allergy, Asthma and Immunology recommendation about the use of spirometry in diagnosing and managing asthma.
As seen in Table 2, between 2006 and 2010 there was an overall and gradual increase in the use of spirometry for diagnosis and monitoring of patients with asthma.
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