A Study on the Role of General Practice in Medication Guidance for Childhood Asthma Management
Year: 2026
Type: article
Abstract: 儿童哮喘作为常见的慢性呼吸系统疾病，其控制效果依赖于长期规范的药物治疗。全科医生作为医疗卫生体系的基层核心，在儿童哮喘的长期管理中具有不可替代的作用。本文围绕全科医学在儿童哮喘药物指导中的实施路径与核心价值展开探讨，系统梳理药物治疗的基本理论，重点分析全科医生在个体化用药制定、规范操作培训、家长认知提升等方面的具体策略，并针对急性发作期、稳定期及特殊人群等典型临床情境提出药物指导方案。研究进一步构建了以随访监测、双向转诊与能力建设为核心的质量保障机制，结合当前实践中的挑战，提出信息化工具应用与多主体协同等发展建议，以期为提升我国儿童哮喘整体控制水平提供参考。在此基础上，本文进一步引入基层可实施的哮喘表型分层、基于健康行为学理论与动机性访谈的依从性干预，专设中国基层实施障碍与对策章节，并对理论框架尚未经实证检验等局限性作出说明。Childhood asthma is a common chronic respiratory disease, and effective disease control depends on long-term, standardized pharmacotherapy. As a cornerstone of primary health care, general practitioners play an irreplaceable role in the long-term management of childhood asthma. This article examines the implementation pathways and core value of general practice in medication guidance for childhood asthma, systematically reviews the fundamental principles of pharmacotherapy, and focuses on practical strategies for individualized medication planning, standardized inhaler-technique training, and improvement of parental understanding. Medication-guidance strategies are also proposed for typical clinical scenarios, including acute exacerbations, stable disease, and special populations. Furthermore, a quality-assurance mechanism centered on follow-up monitoring, two-way referral, and capacity building is developed. In response to current challenges in practice, the application of digital tools and multi-stakeholder collaboration is proposed to help improve the overall level of asthma control among children in China. The article additionally introduces phenotype stratification feasible in primary care and adherence interventions based on health-behavior theories and motivational interviewing, provides a dedicated discussion of implementation barriers and corresponding strategies in Chinese primary care, and acknowledges limitations such as the lack of empirical validation of the proposed theoretical framework.
Source: Advances in Clinical Medicine
Author: 延鹏 范
Institution: Yan'an University
Subfield: Physiology
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W7204107060