Objective
- Using respiratory patient databases in Canada and UK, we sought to compare and contrast aspects of respiratory care. Perceptions on the value of their Spacer were also assessed.
Methods
- A survey was sent out to patients across Canada and UK who were registered in myAERO* Community, a voluntary platform for AeroChamber* Spacer (TMI) users. The survey asked whether they had annual HCP visits, did they have an Asthma / COPD action plan, and how often inhaler technique was checked, as well as differences noticed between using an MDI / Spacer system compared to an MDI alone.
Results
Condition:
- 2007 Canadian patients (82% Asthma, 18% COPD) and 294 UK patients (72% Asthma, 28% COPD) completed the survey.
Respiratory Patient Care:
- 68% of patients in Canada selected having an annual visit with a healthcare provider, compared to 88% in the UK. 53% and 35% of Canadian patients had a defined action plan and inhaler technique check (annually or every other visit), respectively, while 73% of UK patients reported the same.
Perceived differences using an MDI / Spacer system versus an MDI alone:
- 79% of patients in Canada and 80% in UK reported greater confidence in medication delivery when using a spacer with their pressurized metered dose inhaler. 23% of patients in Canada and 20% of patients in the UK reported needing fewer inhaler puffs. 9% of Canadian patients and 10% of UK patients perceived fewer emergency visits, while 10% in Canada and 14% in the UK experienced fewer side effects, respectively.
Conclusions
Notwithstanding survey limitations (including likely pro-activity bias of respondents towards seeking healthcare assistance), it was notable that the UK patients were more likely to have an annual HCP visit and an action plan, as well as having their inhaler technique checked more often. In contrast, views on the value of their Spacer were similar in both countries.