<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE root>
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Bulletin of Semashko National Research Institute of Public Health</journal-id><journal-title-group><journal-title>Bulletin of Semashko National Research Institute of Public Health</journal-title></journal-title-group><issn publication-format="print">2415-8410</issn><issn publication-format="electronic">2415-8429</issn><publisher><publisher-name>FSSBI «N.A. Semashko National Research Institute of Public Health»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1490</article-id><article-categories><subj-group subj-group-type="heading"><subject>Научная статья</subject></subj-group></article-categories><title-group><article-title>ANALYSIS OF INFORMATION OF DOCTORS OF GENERAL PRACTICE AND LOCAL THERAPEUTS ON CARRYING OUT THE FUNCTION OF EXTERNAL RESPIRATION IN CHRONIC OBSTRUCTIVE DISEASE OF LUNG AND BRONCHIAL ASTHMA</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Gorenkov</surname><given-names>R. V</given-names></name><bio></bio><email>rogorenkov@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Kartashov</surname><given-names>K. V</given-names></name><bio></bio><email>k_kartashov@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Zamurueva</surname><given-names>O. V</given-names></name><bio></bio><email>alexzamur2013@yandex.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Vasilyeva</surname><given-names>T. P</given-names></name><bio></bio><email>vasileva_tp@mail.ru</email><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff id="aff-1">N.A. Semashko National Research Institute of Public Health, Moscow, Russian Federation, Moscow, Russian Federation</aff><aff id="aff-2">Vladimirsky Moscov Regional Research Clinical Institute, Moscow, Russian Federation</aff><aff id="aff-3">Sechenov University, Moscow, Russian Federation</aff><aff id="aff-4">V.N. Gorodkov Ivanovo Research Institute of Maternity and Childhood, Ivanovo, Russian Federation</aff><pub-date date-type="epub" iso-8601-date="2020-12-17" publication-format="electronic"><day>17</day><month>12</month><year>2020</year></pub-date><issue>3</issue><fpage>52</fpage><lpage>59</lpage><history><pub-date date-type="received" iso-8601-date="2022-04-08"><day>08</day><month>04</month><year>2022</year></pub-date></history><permissions><copyright-statement>Copyright © 2020,</copyright-statement><copyright-year>2020</copyright-year></permissions><abstract>The purpose of the study: to study the awareness of district therapists and general practitioners about the significance, indicators and frequency of the function of external respiration in bronchial asthma and chronic obstructive pulmonary disease on an outpatient basis. The study involved 73 primary care physicians: 41 district therapists and 32 general practitioners from the Moscow and Moscow region. All participants in the study were questioned on the knowledge of the main indicators of spirometry; rules for spirometry and the frequency of use of peakflowmetry on an outpatient basis. Primary care physicians do not fully understand the interpretation of indicators of the function of external respiration, and especially the technique of performing spirometry and peakflowmetry on an outpatient basis. Awareness of general practitioners on the interpretation of indicators and the rules for spirometry is better than that of district therapists. Most primary care physicians do not perform peakflowmetry at the reception (85.0%) and do not appoint patients for self-monitoring on an outpatient basis (82.2%). The objective reason why peak flow metering is not performed at a doctor’s appointment is the lack of equipment for doctor’s offices with peakflowmeters. The subjective reasons why peak flow measurement is not performed at the reception and is not prescribed to patients as a method of self-monitoring are the lack of knowledge of doctors and their erroneous opinions.</abstract><kwd-group xml:lang="en"><kwd>external respiration function</kwd><kwd>spirometry</kwd><kwd>peakflowmetry</kwd><kwd>bronchial asthma</kwd><kwd>chronic obstructive pulmonary disease</kwd><kwd>primary health care</kwd><kwd>general practitioner</kwd><kwd>district therapists</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>функция внешнего дыхания</kwd><kwd>спирометрия</kwd><kwd>пикфлоуметрия</kwd><kwd>бронхиальная астма</kwd><kwd>хроническая обструктивная болезнь легких</kwd><kwd>первичное звено здравоохранения</kwd><kwd>врач общей практики</kwd><kwd>участковый терапевт</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Айсанов З.Р. Спирометрия в диагностике и оценке терапии хронической обструктивной болезни легких в общеврачебной практике / З.Р. Айсанов, А.В. Черняк, Е.Н. Калманова // Пульмонология. - 2014. - № 5. - С. 101-110.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Лунина М.Д. Актуальные вопросы клинического применения спирометрии / М.Д. Лунина, В.С. Никифоров, Н.Г. Яковлева, Н.С. Балясина // Архивъ внутренней медицины. - 2016. - № 6. - С. 19-24.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Miller M.R. ATS/ERS Task Force. Standardization of spirometry / M.R. Miller, J. Hankinson, V. Brusasco [и др.] // Eur. Respir. J. - 2005. - Vol. 26. - № 2. - P. 319-338.</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Антонов Н.С. Эпидемиология бронхолегочных заболеваний в России / Н.С. Антонов // Пульмонология. - 2006. - № 4. - С. 83-88.</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Чучалин А.Г. Федеральные клинические рекомендации по диагностике и лечению бронхиальной астмы / А.Г. Чучалин, З.Р. Айсанов, А.С. Белевский [и др.] // Пульмонология. - 2014. - № 2. - С. 11-32.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Кароли Н.А. Ошибки диагностики, ведения и лечения больных бронхиальной астмой / Н.А. Кароли, А.П. Ребров // Бюллетень сибирской медицины. - 2002. - № 1. - C. 89-96.</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Kavanagh J. Over- and under-diagnosis in asthma / J. Kavanagh, D.J. Jackson, B.D. Kent // Breathe. - 2019. - Vol. 15. - № 1. - P. e20-e27.</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Licskai C.J. Spirometry in primary care: an analysis of spirometry test quality in a regional primary care asthma program. / C.J. Licskai, T.W. Sands, L. Paolatto [и др.] // Can. Respir. J. - 2012. - Vol. 19. - № 4. - P. 249-254.</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Похазникова М.А. Оценка качества спирометрии, выполненной врачами общей практики в Санкт-Петербурге в исследовании RESPECT. Часть I / М.А. Похазникова, Е.А. Андреева, О.Ю. Кузнецова [и др.] // Российский семейный врач. - 2014. - Т. 18. - № 1. - C. 37-43.</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Aisanov Z.R., Chernyak A.V., Kalmanova E.N. Spirometry in the diagnosis and evaluation of treatment of chronic obstructive pulmonary disease in general practice. Pulmonology, 2014, no. 5, pp. 101-110. (In Russian).</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Lunina M.D., Nikiforov V.S., Yakovleva N.G., Baluster N.S. Actual issues of the clinical use of spirometry. Archive of Internal Medicine, 2016, no. 6, pp. 19-24. (In Russian).</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Miller M.R. Hankinson J., Brusasco V., [et al.] ATS/ERS Task Force. Standardization of spirometry. Eur. Respir. J, 2005, vol. 26, no 2, pp. 319-338.</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Antonov N.S. Epidemiology of bronchopulmonary diseases in Russia. Pulmonology, 2006, no. 4, pp. 83-88. (In Russian).</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Chuchalin A.G., Aisanov Z.R., Belevsky A.S. [et al.] Federal clinical guidelines for the diagnosis and treatment of bronchial asthma. Pulmonology, 2014, no. 2, pp. 11-32. (In Russian).</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Caroli N.A., Rebrov A.P. Errors of diagnosis, management and treatment of patients with bronchial asthma. Bulletin of Siberian medicine, 2002, no. 1, pp. 89-96. (In Russian).</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Kavanagh J., Jackson D.J., Kent B.D. Over- and under-diagnosis in asthma. Breathe, 2019, vol. 15, no. 1, pp. e20-e27.</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Licskai C.J., Sands T.W., Paolatto L. [et al.] Spirometry in primary care: an analysis of spirometry test quality in a regional primary care asthma program. Can. Respir. J., 2012, vol. 19, no. 4, pp. 249-254.</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Pokhaznikova M.A., Andreeva E.A., Kuznetsova O.Yu. [et al.] Quality assessment of spirometry performed by general practitioners in St. Petersburg in the respect study. Part I. Russian Family Doctor, 2014, vol. 18, no 1, pp. 37-43. (In Russian).</mixed-citation></ref></ref-list></back></article>
