Abstract
Inconsistency of care with guideline leads to poor asthma control. Therefore, we developed a simple questionnaire and checklist for primary physicians to implement Japanese guideline for childhood asthma. We asked doctors of 20 hospitals and 19 clinics to use this questionnaire and checklist for evaluating control levels of children with asthma, and to discuss with their caregivers regarding the treatment status. Their control levels were reevaluated afterward. Out of 938 children, 258 (27.5%) were defined as poor control, and the treatment level was stepped up in 46.1% of them. One month later, approximately 60% of the children showed the improvement in their control levels, and this improving tendency was clearer in the children with step-up treatment level compared with children whose treatment was not changed (77.4% vs 39.1%, p<0.001). These results suggest that it could be useful to use this simple questionnaire and checklist for implementation of asthma guideline.
