BMJ  2003;327 (20 September), doi:10.1136/bmj.327.7416.0

Proactive care with active recall helps children with asthma

Proactive structured care in general practice may improve the management of childhood asthma. Glasgow and colleagues (p 659) conducted a cluster randomised controlled trial and found that a structured intervention (called the 3+ visit plan) with active recall improved process measures and clinical measures such as reduced speech-limiting wheeze for children with moderate to severe asthma. The authors maintain that delivering optimal health care in chronic illness such as asthma requires health systems to move from a reactive to a proactive orientation.

Related Article

Proactive asthma care in childhood: general practice based randomised controlled trial

Nicholas J Glasgow, Anne-Louise Ponsonby, Rachel Yates, Justin Beilby, and Paul Dugdale
BMJ 2003 327: 659. [Abstract] [Full Text] [PDF]