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Asthma Care in Resource-Poor Settings

Asthma Care in Resource-Poor Settings INVITED REVIEW Mario Sa´nchez-Borges, MD, Arnaldo Capriles-Hulett, MD, and Fernan Caballero-Fonseca, MD These investigations concluded that there is a poor Abstract: Asthma prevalence in low- to middle-income countries is standard of care in all regions, with resource-poor countries at least the same or higher than in rich countries, but with increased faring no worse than rich countries in failing to achieve the severity. Lack of control in these settings is due to various factors GINA goals, and both patients and care providers underesti- such as low accessibility to effective medications, multiple and mated asthma severity and a significant proportion of patients uncoordinated weak infrastructures of medical services for the and care providers paid little attention to use of inhaled management of chronic diseases such as asthma, poor compliance corticosteroids. Among recommendations for better out- with prescribed therapy, lack of asthma education, and social and comes, experts suggested improving the access and afford- cultural factors. There is an urgent requirement for the imple- ability of corticosteroids, increasing patient and physician mentation of better ways to treat asthma in underserved popula- education, and implementing social, cultural, and politically tions, enhancing the access to preventive medications and edu- relevant management plans. cational http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png World Allergy Organization Journal Wolters Kluwer Health

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References (76)

ISSN
1939-4551
DOI
10.1097/WOX.0b013e318213598d
pmid
23282401
Publisher site
See Article on Publisher Site

Abstract

INVITED REVIEW Mario Sa´nchez-Borges, MD, Arnaldo Capriles-Hulett, MD, and Fernan Caballero-Fonseca, MD These investigations concluded that there is a poor Abstract: Asthma prevalence in low- to middle-income countries is standard of care in all regions, with resource-poor countries at least the same or higher than in rich countries, but with increased faring no worse than rich countries in failing to achieve the severity. Lack of control in these settings is due to various factors GINA goals, and both patients and care providers underesti- such as low accessibility to effective medications, multiple and mated asthma severity and a significant proportion of patients uncoordinated weak infrastructures of medical services for the and care providers paid little attention to use of inhaled management of chronic diseases such as asthma, poor compliance corticosteroids. Among recommendations for better out- with prescribed therapy, lack of asthma education, and social and comes, experts suggested improving the access and afford- cultural factors. There is an urgent requirement for the imple- ability of corticosteroids, increasing patient and physician mentation of better ways to treat asthma in underserved popula- education, and implementing social, cultural, and politically tions, enhancing the access to preventive medications and edu- relevant management plans. cational

Journal

World Allergy Organization JournalWolters Kluwer Health

Published: Apr 1, 2011

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