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[Medical indoor environment counsellor (MIEC) in Burgundy: evaluation by physicians and patients].
- Source :
-
Revue des maladies respiratoires [Rev Mal Respir] 2013 Nov; Vol. 30 (9), pp. 764-73. Date of Electronic Publication: 2013 May 06. - Publication Year :
- 2013
-
Abstract
- Unlabelled: Since December 2009, chest physicians and allergologists in Burgundy have been able to call upon a medical indoor environment counsellor (MIEC). The consultations are free for the patient and are undertaken following a medical referal after systematic cutaneous prick tests.<br />Aims: To describe the indications, the distribution of prescriptions and to measure the impact of the counsellor's visits on the first 100 patients at 6 months and on the physicians at 18 months.<br />Method: Telephone interviews with the 67 physicians (whether prescribers or not) concerning their motivation and/or expectations, and with the first 100 patients concerning follow up of the recommendations.<br />Results: Seventy percent of the physicians replied (n=47). The satisfaction of prescribers (n=22) was 8.42/10. The indications were rhinitis and a poorly controlled asthma. The requests concerned the search for dust mite (50%) and moulds (46%). Eighty-four percent of the physicians discussed the MIEC's report with the patients. The patients' symptoms were rhinitis (79%), asthma (57%) and conjunctivitis (33%). The Acarex test(®), performed in cases of positive prick tests to house dust mites (n=72), was strongly positive for 67 patients. Sixteen mould samples out of 21 were above the standard concentrations. Sixty-nine patients had followed the recommendations of the MIEC.<br />Conclusion: The impact of the MIEC visits was perceived as positive by the physicians and the patients. The medico-economic impact warrants further evaluation.<br /> (Copyright © 2013 SPLF. Published by Elsevier Masson SAS. All rights reserved.)
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Air Pollution, Indoor statistics & numerical data
Animals
Asthma diagnosis
Asthma epidemiology
Child
Child, Preschool
Female
France epidemiology
Humans
Infant
Male
Middle Aged
Patient Acceptance of Health Care statistics & numerical data
Pyroglyphidae
Rhinitis diagnosis
Rhinitis epidemiology
Skin Tests statistics & numerical data
Young Adult
Air Pollution, Indoor prevention & control
Counseling methods
Counseling standards
Patient Satisfaction statistics & numerical data
Physicians statistics & numerical data
Subjects
Details
- Language :
- French
- ISSN :
- 1776-2588
- Volume :
- 30
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Revue des maladies respiratoires
- Publication Type :
- Academic Journal
- Accession number :
- 24267767
- Full Text :
- https://doi.org/10.1016/j.rmr.2013.03.008