Accessibility ,clinical effectiveness, and practice costs of providing a telephone option for routine asthma reviews:

Background Attendance for routine asthma reviews is poor. A recent randomised controlled trial found that telephone consultations can cost-effectively and safely enhance asthma review rates; however, concerns have been expressed about the generalisability and implementation of the trial’s findings. Aim To evaluate the effectiveness of a telephone option as part of a routine structured asthma review service. Designofstudy Phase IV controlled before-and-after implementation study. Setting A large UK general practice. Method