Table 1.

Key drivers and their underpinning components identified by the expert panel.

1. National healthcare policy

− Appropriately resourced primary care services

− Actions to support universal health coverage

− Recognition of importance of non-communicable chronic disease management

− Balance between public and private insurance: healthcare systems

− Redistribution of funding from hospitals to primary care

2. Clinical guidelines

− Recognition that primary care uses multiple disease guidelines

− Primary care ownership and succinct evidence-based guidelines

− Accessible guidelines produced in a standard recognised format

− Consider shifting to symptom-based guidelines

3. Reward for performance

− Recognition and rewards for high-quality respiratory practice

− Clearly defined financial incentive schemes

− Reward for the practice not individual practitioners

− Reimbursement policies aligned to guidelines, including prescribing

4. Practice resources and organisation

− Registered patient lists and fully integrated computer systems

− Clinical care pathways

− Access to high-quality lung function and other diagnostic tests

− Access literacy and culturally sensitive patient education

5. Workforce

− Specialist asthma training programmes in primary care

− Dedicated and appropriately asthma-trained personnel

− Collaborative working across the wider primary healthcare team, with defined roles

− Excellent interdisciplinary communication processes