Routine asthma reviews aim to implement guideline recommendations to identify risk factors and deal with these to prevent exacerbations or attacks. Inhaler technique cannot be taught or assessed by phone. Remote routine asthma reviews are becoming very common in UK primary care, especially telephone reviews and this concerns me a lot. Unless these are done by very experienced asthma clinicians they could have adverse consequences. A good asthma review should start with a question whether the person does have asthma; if the diagnosis is not clear detailed medical history , examination and possible referral is needed. Next, if you do have asthma is it well controlled; what treatment have you been prescribed, are you taking it, and most importantly, are you using your inhaler correctly. Are there any risk factors for future asthma attacks; do you have any concerns about your asthma? Finally the review should also include an agreed asthma self management plan. In my view a review of this quality. cannot be done by phone.
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