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IJMDC. 2019; 3(8): 686-693 The pattern of use of bronchial asthma medications at primary health care level and the factors influencing this from the physicians' perspective, Najran city, Saudi ArabiaNasser Saeed Alqahtani, Norah Hussain Almardhamah, Wejdan Nasser Almaqbul, Abdulaziz Ahmad Alzahrany, Rawan Ariman Alosaimi, Hadi Abdullah Al Sleem, Fahad Ahmed Alkanfari, Nermean Abdullah Balharith, Nouf Mubarak, Aljouharah Mohammed Alanazi, Nujoud Hamad Almoqati. Abstract | | | | Background: Prevalence and burden of bronchial asthma have increased throughout time; it could even lead to fatal complications in many of the affected individuals. Optimum care for asthma requires collaborative work between physicians, health-providing facilities, patients, and their families. Misutilization of anti-asthma medications is one of the obstacles to achieving asthma control. This study examines the pattern of utilizing anti-asthma medications at primary healthcare centers from the physician's perspective and determining the most influencing factors for this disease.
Methodology: This was a cross-sectional study conducted in September 2018 in Najran city, enrolling all physicians (n = 134) working in primary health care centers, outpatient clinics, emergency departments of hospitals, and private polyclinic centers. An interview-administered questionnaire was used for the study.
Results: More than 92% of asthmatic patients received medication as either a reliever or controller. It is reported that short-acting beta2-agonist agents had the highest (90.30%) use in short-term treatments, while corticosteroid (inhalant) had the highest medication (42.54%) in long-term treatments. Concerning the influence on utilizing anti-asthma medications, it is noted that physician-related factors have a good effect (78.06%) and workplace-related factors have the fair effect (62.23%), while patient-related factors have a bad effect (55.73%). Five demographic factors of primary physicians factors (age, medical specialty, workplace, healthcare
facility, and experience duration) were shown to be important (
Key words: Bronchial asthma, medications, utilising, primary health care, physicians
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