RT Journal Article SR Electronic T1 Problems With Inhaler Use: A Call for Improved Clinician and Patient Education JF Respiratory Care FD American Association for Respiratory Care SP 1360 OP 1375 VO 50 IS 10 A1 James B Fink A1 Bruce K Rubin YR 2005 UL http://rc.rcjournal.com/content/50/10/1360.abstract AB Patient education is a critical factor in the use and misuse of medication inhalers. Inhalers represent advanced technology that is considered so easy to use that many patients and clinicians do not receive adequate training in their use. Between 28% and 68% of patients do not use metered-dose inhalers or powder inhalers well enough to benefit from the prescribed medication, and 39 – 67% of nurses, doctors, and respiratory therapists are unable to adequately describe or perform critical steps for using inhalers. Of an estimated $25 billion spent for inhalers annually, $5–7 billion is wasted because of inhaler misuse. Reimbursement and teaching strategies to improve patient education could substantially reduce these wasted resources. Problems with inhaler use, the cost of inhalers, and myths associated with inhalers are reviewed, with recommendations for strategies and techniques to better educate patients in inhaler use.