International Primary Care Respiratory Group created an international pilot to explore how to use social movement approaches to create a desire for change in the management of asthma. Our hunch was, and remains, that there is a relatively high degree of comfort with the status quo, which means there is not much "noise" about the need for change. And yet those in the IPCRG network know that there is a real need for improvement and we need to disrupt that thinking.
We set up a multi-national Delivery Team from four pilot countries, Canada, Portugal, Spain and the UK that includes patients, pharmacists, GPs and nurses who have been helping us create resources - some of which are featured on this page. Each pilot has run its own "design charrette" to take these prototypes, test them, adapt them, and suggest additional approaches.
Our priority, in the first phase in each country, is in getting conversations started about the over-reliance on short-acting beta2 agonists (SABAs). We have been testing how to trigger these between patients, pharmacists, GPs, nurses and others involved in front line care. We have aimed to create a sense of discomfort and dissatisfaction with the present state so that there is a felt need for information about better options for improving patient outcomes.
This programme is now spreading to the Netherlands, France and, we hope during 2019-20, more countries in the IPCRG network. We now have a full implementation pack including videos, slide rules and other material to share to take you through the process from the stakeholder mapping, design charrette to a range of interventions to gain Asthma Right Care followers.
The original sites are now also helping colleagues think through how to improve care, and we have a set of five Asthma Right Care case studies to support teaching.
Asthma Right Care Case Studies
We now have five case studies on using Asthma Right Care with patients in different situations including moderate asthma, chest infection, adolescents, patients seen at the Emergency Department and difficult to manage asthma.
A slide set is available for each scenario. Click below to see the chest infection slides, including a voice over by author Noel Baxter.
If you would like more information on the Asthma Right Care case studies contact firstname.lastname@example.org.
Video showing the Asthma Right Care Slide Rule and Question Cards in action
Asthma Right Care at Conferences
Slides from Sep 2019 ERS Symposium
For ERS members a video of the presentation is available here
For ERS Members a video of the presentation is available here
A short version of the Asthma Right Care symposium
Jaime Correia de Sousa presented on Asthma Right Care
Asthma Right Care Slide Rule Guidance Notes
- Asthma Right Care Slide Rule Guidance Notes - English - updated May 2019
- Asthma Right Care Slide Rule Guidance Notes - Spanish - updated July 2019
- Asthma Right Care Slide Rule Guidance Notes - Portuguese - updated July 2019
Literature on Social Movements in Health Care
NESTA. Health as a Social Movement: The Power of People in Movements. 2016. Download here.
NHS Institute for Innovation and Improvement (2009) The Power of One, The Power of Many: What Health and Healthcare Improvement Can Learn from Social Movements. Download here
Ganz M (2010) Leading Change: Leadership, Organization, and Social Movements in Handbook of Leadership Theory and Practice, Nohria N and Khurana R (eds), Chapter 19, HBS Press. Download here.
Battilano J, Casciaro T, (2013), The network secrets of the great change agents Harvard Business Review, July-August. Download here.
Asthma Right Care Slide Rule
Asthma Right Care Question & Challenge Cards
March 2019 - New versions of the Asthma Right Care Question & Challenge Cards are available and you can download the PDF versions below.
Please note, if you would like to print these locally then the cards should be printed full colour both sides, size A6, on 350gsm White silk, with a gloss lamination and the first card used as the back for each other card.