Global Quality Standard for Identification and Management of Severe Asthma

• DOI: 10.1007/s12325-020-01450-7
• Publication Date: 2020-07-28T10:04:06Z
• Authors: John Haughney; Tonya A. Winders; Steve Holmes; Pascal Chanez; Hannah Saul; Andrew Menzies-Gow; ; Hannah Saul; Tonya Winders; Giorgio Walter Wi...; Pascal Chanez; Janwillem Kocks; John Haughney; Steve Holmes; Adel Mansur; Andres Menzies-Gow; Yuji Tohda; Cynthia Hallensleben; Grainne d’Ancona; Sam Prigmore; Esther Metting
• Keywords: Asthma management; Identification

Severe asthma is a debilitating, life-threatening disease associated with substantial global morbidity, mortality, and health care resource utilization. Patients may not receive guideline-directed medical for severe asthma. Moreover, viable precision-based assessment tools newer preventive therapies that can reduce the frequency of exacerbations functional impact are underused. As result, high rates poorly controlled persist, patient health-related quality life suffers.In 2019, Improve Access to Better Care Task Force PRECISION Steering Committee set out develop template on standards support improved access delivery care. This Quality Standard grounded in vast body published evidence available care, clinical guidelines (i.e., from Global Initiative Asthma 2019 European Respiratory Society/American Thoracic Society 2014), 2018 PRECISION-supported Charter Patient Asthma.The developed emphasizes four key elements aimed at optimizing outcomes asthma: (1) organization services, (2) timely identification referral suspected asthma, (3) specialized management optimize outcomes, (4) patient-centric shared decision-making reflective patient's expectations, priorities, values. Four Statements provided, along metrics strategies local adaptation implementation.This intended mobilize policymakers, providers, advocacy groups build consensus definition expectations promote identify gaps areas improvement, systematically implement improvement measures burden illness patients asthma.Although only 10% have disease, these use up half all resources used treat For patient, increased risk death, poor life. Effective treatments available, yet varies many around globe, they always effectively when available. A task force leading experts was recently assembled The identified outcomes: coordination detection guideline-recommended assessments therapies, integration values making treatment decisions. details each by providing supporting rationale, ways measure improvements area, clinics world. Ultimately, this help groups, other stakeholders requirements improve while also reducing overall