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Self management plans are widely advocated to help patients manage
their own asthma. The plans have been shown to produce improvements in
health outcomes, but they have been difficult to implement in primary
care. Nothing is known about the views of patients. Jones et al
(p 1507) examined the views of patients, general practitioners, and
asthma nurses in a series of focus group interviews. Neither the
patients nor the health professionals thought that self management
plans were useful, although their reasons for this view differed.
Patient centred plans that acknowledge patients' reluctance to see
asthma as a chronic disease may be more successful.