Poor understanding of self management skills |
31 |
Belief that hospital is best place to be treated |
25 |
Confidence in general practitioner |
23 |
Simple access to general practitioner |
16 |
Poor understanding of how medication works |
15 |
Family support |
14 |
Confidence in control |
14 |
Lack of confidence in general practitioner |
14 |
Good adherence |
14 |
Stress |
13 |
Poor adherence |
13 |
Passive or resigned perspectives |
12 |
Understands action of medications |
11 |
Failure to diagnose asthma exacerbation or prescription of antibiotics |
10 |
Severe asthma |
9 |
Understands medical self management behaviour |
8 |
Comorbidity—physical |
7 |
Comorbidity—mental |
7 |
Brittle asthma—sudden onset |
7 |
Poor access—general practitioner won't visit |
7 |
Good general practice asthma strategy |
7 |
General practice has an asthma clinic |
7 |
Poor access to out of hours care, patient did not try to call |
7 |
No asthma clinic |
6 |
Continuity of care |
5 |
Stress—family illness |
4 |
Delayed calling general practitioner as believed could manage alone |
4 |
Failure to prescribe oral corticosteroids |
4 |
Does not attend specialist clinic |
4 |
Uses home nebuliser |
4 |
Attends specialist clinic |
4 |
General practitioner asks to review before prescription given |
4 |
No proactive asthma care (strategy) by general practitioner |
4 |
Poor access to general practitioner—can't get appointment |
4 |
Oral corticosteroids begun by general practitioner |
3 |
General practice has no nurse |
3 |
Poor continuity of care—locum doctor |
3 |
Poor access to general practitioner |
3 |
Poor access—out of hours service declines to visit |
3 |
Poor access to general practitioner out of hours |
3 |
Poverty |
2 |
Lives far from general practice |
2 |
Undertreatment |
2 |
Poor trust of general practitioner—cost cutting |
2 |
Language not a problem |
2 |
Not seeing patient before prescribing |
2 |
Out of hours doctor tells patient to go to hospital |
2 |
Lack of family support |
1 |
Hates idea of being in hospital |
1 |
Poor access to general practitioner—patient can't come in because of working hours |
1 |
General practitioner seeks to review regularly |
1 |
General practitioner treats asthmatic patients in the surgery |
1 |
No review before routine treatment |
1 |
Lack of defined role for nurse |
1 |
Asthma not a priority for the practice |
1 |
Failure to prescribe oral corticosteroids for home use |
1 |
No health visitor |
1 |
Not knowing patient—temporary resident |
1 |
Poor continuity of care—group practice |
1 |
Healthcall slow to visit |
1 |