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Research ArticleOriginal Contributions

Knowledge and Use of Office Spirometry for the Detection of Chronic Obstructive Pulmonary Disease by Primary Care Physicians

David A Kaminsky, Theodore W Marcy, Mark Bachand and Charles G Irvin
Respiratory Care December 2005, 50 (12) 1639-1648;
David A Kaminsky
Fletcher Allen Health Care, University of Vermont College of Medicine, Bington, Vermont.
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  • For correspondence: [email protected]
Theodore W Marcy
Fletcher Allen Health Care, University of Vermont College of Medicine, Bington, Vermont.
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Mark Bachand
Fletcher Allen Health Care, University of Vermont College of Medicine, Bington, Vermont.
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Charles G Irvin
Fletcher Allen Health Care, University of Vermont College of Medicine, Bington, Vermont.
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Abstract

BACKGROUND: The importance of office spirometry has been strongly advocated in the pulmonary community, but whether its importance is recognized and accepted by primary care physicians is less well established.

METHODS: To assess primary care physicians' knowledge and use of office spirometry for the detection of chronic obstructive pulmonary disease, we conducted a brief mail survey on the local practice of office spirometry, barriers to performing office spirometry, and general knowledge about spirometry. We also provided 60-min educational workshops to assess whether such an approach would increase spirometry testing or perceptions about spirometry.

RESULTS: Twenty-nine of 57 (51%) primary care offices responded to the survey. Of these, 66% owned their own spirometer. The most common reasons for not performing spirometry were uncertainty about the impact of the test (41%), physician and staff unfamiliarity (38%), and lack of training (34%). Twenty-one respondents participated in the workshops. In the 3 months following the workshops, the number of spirometry tests increased by 59% (p = 0.004). After the workshops, the proportion of clinics that reported reasons for not performing the test decreased by 13% (p = 0.01), but important barriers to performing office spirometry were still present, including physician and staff unfamiliarity (22%), uncertain interpretation of results (22%), time (22%), and reimbursement (22%).

CONCLUSIONS: The general knowledge and use of office spirometry in the primary care community is poor, but can be improved, at least in the short-term, by a simple educational workshop.

  • spirometry
  • survey
  • primary care
  • screening
  • chronic obstructive pulmonary disease

Footnotes

  • Correspondence: David A Kaminsky MD, Pulmonary Disease and Critical Care Medicine, University of Vermont College of Medicine, Given D-302, Burlington VT 05405. E-mail: david.kaminsky{at}uvm.edu.
  • Copyright © 2005 by Daedalus Enterprises Inc.
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Respiratory Care: 50 (12)
Respiratory Care
Vol. 50, Issue 12
1 Dec 2005
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Knowledge and Use of Office Spirometry for the Detection of Chronic Obstructive Pulmonary Disease by Primary Care Physicians
David A Kaminsky, Theodore W Marcy, Mark Bachand, Charles G Irvin
Respiratory Care Dec 2005, 50 (12) 1639-1648;

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Knowledge and Use of Office Spirometry for the Detection of Chronic Obstructive Pulmonary Disease by Primary Care Physicians
David A Kaminsky, Theodore W Marcy, Mark Bachand, Charles G Irvin
Respiratory Care Dec 2005, 50 (12) 1639-1648;
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Keywords

  • spirometry
  • survey
  • primary care
  • screening
  • chronic obstructive pulmonary disease

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