Abstract
It is considered that a therapeutic guideline is essential for the provision of improved care to asthmatics. In Japan, a novel Japanese Pediatric asthma Guideline (JPGL) and Asthma Handbook (HB) have been published in the last 2 years. However, the current status of utilization of the JPGL and HB in Japan is not yet clear. To evaluate the level utilization of the JPGL and HB, we conducted a questionnaire survey of allergy specialists and general practitioners. Replies were obtained from 70 practitioners (60.9%) from two prefectures. It appeared that allergy specialists were better aware of and better utilized the JPGL. The level of awareness and utilization of the HB was poor in both the groups. Allergy specialists sought a revised guideline with more information on ''allergen management'', ''early intervention'' and ''allergen examination'' in a revised guideline. The editorial policy of excess expertise of the JPGL was criticized by both allergy specialists and general practitioners. The clinicians also suggested that the guideline should use an easier-to-understand format to serve not only allergy specialists, but also non allergic specialists. Further discussions are necessary to prepare a new and better ''stakeholder-oriented'' guideline.
