Severe Asthma ToolkitSevere Asthma Toolkit
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  • What is Severe Asthma?
    • Overview
    • Definition
    • Prevalence & Burden
    • Pathophysiology
    • Symptoms
    • Severe Asthma Attacks
    • Asthma Phenotypes
    • Asthma Remission
  • Diagnosis & Assessment
    • Overview
    • Diagnosis Overview
    • Assessment Overview
    • Lung Function Assessments
    • Questionnaires
    • Allergy Assessments
    • Phenotyping
    • Bronchoscopy
    • Imaging
    • Occupational Asthma
  • Management
    • Overview
    • Asthma Education
      • About Severe Asthma
      • Asthma Pathophysiology
      • Medications Education
      • Self-Monitoring
      • Triggers
      • Review
    • Written Action Plans
    • Adherence
    • Inhaler Technique
    • Physical Activity & Exercise
    • Interdisciplinary Approach & Multidimensional Assessment
    • Treatable Traits Approach
    • Referral
  • Medications
    • Overview
    • Relievers
    • Maintenance Inhaler Therapy
    • Add-on Therapies
    • Monoclonal Antibodies
      • Travelling with Monoclonal Antibodies
    • Bronchial Thermoplasty
    • Oral Corticosteroid Stewardship
  • Co-Morbidities
    • Overview
    • Pulmonary & Upper Airways
      • Allergic & Non-Allergic Rhinitis
      • Chronic Rhinosinusitis
      • Dysfunctional Breathing/Breathing Pattern Disorder
      • Inducible Laryngeal Obstruction/Vocal Cord Dysfunction
      • Chronic Obstructive Pulmonary Disease
      • Bronchiectasis
      • Obstructive Sleep Apnoea
    • Extra-Pulmonary
      • Obesity
      • Anxiety & Depression
      • Gastro-Oesophageal Reflux Disease (GORD)
      • Osteoporosis
      • Cardiovascular Disease & Metabolic Disease
  • Living with Severe Asthma
    • Overview
    • Daily Symptom Burden
    • Mental & Emotional Health
    • Intimacy & Relationships
    • Self-Management Support
    • Medication Use & Financial Impact
    • Experience of Care
    • Experience of Asthma Attacks
    • Prognosis
  • Establishing a Clinic
    • Overview
    • Set-up
    • Staffing & Multidisciplinary Team Approach
    • Facilities
    • Delivery Approach
    • Tailored Referrals
    • Evaluation
    • Opportunities for Training & Research
    • Barriers & Hurdles
  • Paediatrics
    • Overview
    • Management in Paediatrics
    • Assessment in Paediatrics
    • Alternative Diagnosis & Comorbidities in Paediatrics
    • Psychosocial Issues in Paediatrics
    • Medications in Paediatrics
    • Asthma in the Adolescent Population
  • Resources
    • Overview
    • Clinic Recommendations
    • Infographics
    • Asthma Assessment Resources
    • Systematic & Multidimensional Assessment Resources
      • Airway Components
      • Comorbidity Components
      • Risk Factor Components
    • Translation & Implementation
    • Case Studies
    • Presentations
    • Videos
    • Relevant Links
    • Key References

Establishing a Clinic

Home Establishing a Clinic

Establishing a Severe Asthma Clinic

Systematic and organised care for individuals with severe asthma leads to improved outcomes. An organised model of care facilitates multidisciplinary and multidimensional assessment and management. Specialised asthma centres are an effective way to deliver this care, particularly in an environment of limited resources.

Dedicated centres provide a venue for the confirmation of a severe asthma diagnosis (McDonald et al. 2011, van der Meer et al. 2016). They provide a setting to optimise self-management and treatment and to assess and treat triggers and comorbidities.

Multidimensional assessment of severe asthma leads to improved quality of life, improved asthma control and reduced exacerbations (Clark et al. 2017). Specialist centres provide access to add-on treatments, including trials of novel therapies. The severe asthma clinic also provides important opportunities for clinical training and research (McDonald et al. 2011).

Key Points:

  • Systematic and organised care for individuals with severe asthma leads to improved outcomes
  • A dedicated severe asthma clinic is a way to provide this care
  • Developing a business case will assist in determining what is required for the severe asthma clinic
  • Multidisciplinary team management is regarded as best practice for many chronic diseases
  • In addition to improved patient care, severe asthma clinics can provide career development pathways and specialisation opportunities for healthcare professionals from a variety of fields
Start here
  • Overview
  • Set-up
  • Staffing & Multidisciplinary Team Approach
  • Facilities
  • Delivery Approach
  • Tailored Referrals
  • Evaluation
  • Opportunities for Training & Research
  • Barriers & Hurdles

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