The United Airways Clinic: roadmap of a patient-centred multidisciplinary approach to the complex airways patient: the Sydney model

Deborah Macfie; Marco Raftopulos; Clare Eastwood; Gregory Katsoulotos

doi:10.1111/imj.16206

The United Airways Clinic: roadmap of a patient-centred multidisciplinary approach to the complex airways patient: the Sydney model

Intern Med J. 2023 Nov;53(11):2132-2138. doi: 10.1111/imj.16206.

Authors

Deborah Macfie¹, Marco Raftopulos^{2

3}, Clare Eastwood⁴, Gregory Katsoulotos^{1

5

6

7}

Affiliations

¹ Centenary Institute Centre for Inflammation UTS, Sydney, New South Wales, Australia.
² Otolaryngology Head and Neck Surgery, The Royal Australasian College of Surgeons, Melbourne, Victoria, Australia.
³ East Sydney ENT, Sydney, New South Wales, Australia.
⁴ Southern Sydney Voice Therapy, Sydney, New South Wales, Australia.
⁵ St Vincent's Clinic, Sydney, New South Wales, Australia.
⁶ School of Medicine, Sydney Campus, The University of Notre Dame, Sydney, New South Wales, Australia.
⁷ The Quality Use Of Respiratory Medicines Group, Woolcock Institute of Medical Research, Sydney, New South Wales, Australia.

PMID: 37997274
DOI: 10.1111/imj.16206

Abstract

Severe asthma is a subset of difficult-to-treat asthma which requires a systematic and multidimensional approach including the need to manage multiple comorbidities that mimic asthma. Multidisciplinary care is becoming the standard for the assessment of such patients. Multidisciplinary team (MDT) clinics are virtually nonexistent in the private space. We developed an MDT clinic to handle needs in the private space and found it was an invaluable tool for assessment, reflective practice and professional development.

Keywords: collaborative care; difficult-to-treat asthma; multidimensional assessment; patient experience; private practice; severe asthma.

MeSH terms

Asthma* / diagnosis
Asthma* / epidemiology
Asthma* / therapy
Comorbidity
Humans
Patient Care Team