A workshop on asthma management programs and centers in Brazil: reviewing and explaining concepts

作者：Stelmach Rafael^*; Neto Alcindo Cerci; de Carvalho Fernandez Fonseca Ana Cristina; Ponte Eduardo Vieira; Alves Gerardo; Araujo Costa Ildely Niedia

来源：Jornal Brasileiro de Pneumologia, 2015, 41(1): 3-15.

DOI：10.1590/S1806-37132015000100002

• Asthma
• Academic medical centers
• Area health education centers
• Health planning organizations
• Regional medical programs
• Managed care programs

Objective: To report the results of a workshop regarding asthma management programs and centers (AMPCs) in Brazil, so that they can be used as a tool for the improvement and advancement of current and future AMPCs. Methods: The workshop consisted of five presentations and the corresponding group discussions. The working groups discussed the following themes: implementation of asthma management strategies; human resources needed for AMPCs; financial resources needed for AMPCs; and operational maintenance of AMPCs. Results: The workshop involved 39 participants, from all regions of the country, representing associations of asthma patients (n = 3), universities (n = 7), and AMPCs (n = 29). We found a direct relationship between a lack of planning and the failure of AMPCs. Based on the experiences reported during the workshop, the common assumptions about AMPCs in Brazil were the importance of raising awareness of managers; greater community participation; interdependence between primary care and specialized care; awareness of regionalization; and use of medications available in the public health system. Conclusions: Brazil already has a core of experience in the area of asthma management programs. The implementation of strategies for the management of chronic respiratory disease and their incorporation into health care system protocols would seem to be a natural progression. However, there is minimal experience in this area. Joint efforts by individuals with expertise in AMPCs could promote the implementation of asthma management strategies, thus speeding the creation of treatment networks, which might have a multiplier effect, precluding the need for isolated centers to start from zero.

• 出版日期2015-2