{
  "abstract": "Objective To investigate the frequency and temporal trends in Australian early-career general practitioners (registrars) accessing point-of-care resources (POCR) when managing paediatric asthma.Design A longitudinal analysis (2010–2019) nested within the Registrar Clinical Encounters in Training project of registrars’ in-consultation practice. The outcome factor in univariable and multivariable mixed effects logistic regression analyses was whether POCR was accessed for paediatric asthma problems, with year as the independent variable of interest. Further analyses compared trends (2010–2019) in asthma problem POCR use with non-asthma problem POCR use.Setting Australian community training general practices.Participants 2834 Australian general practice registrars (trainees) (participation rate 92.2%).Result POCR use was greater for asthma (15%) than for non-asthma problems (12.6%). The temporal increase in POCR use for paediatric asthma (OR for POCR use 1.15 per year (95% CI 1.07 to 1.24)) was greater than that for non-asthma problems (OR of 1.11 per year (95% CI 1.09 to 1.14)). This difference in rates of increase in POCR of paediatric asthma and non-asthma problems was not statistically significant.Conclusion There are multiple possible reasons for the increasing use of POCR in paediatric asthma. This trend may reflect increasing focus on evidence-based asthma care and increasing access to high-quality asthma management online POCR available within Australia. Alternatively, paediatric asthma could represent an area of increasing clinical challenge and possible educational need for early-career general practitioners. Further research exploring the underlying reasons for the increasing POCR use in paediatric asthma is warranted.",
  "authors": [
    {
      "affiliations": [
        "School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia"
      ],
      "name": "Nina Reid"
    },
    {
      "affiliations": [
        "School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia"
      ],
      "name": "Katie Fisher"
    },
    {
      "affiliations": [
        "School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia",
        "General Practice Training Research, Royal Australian College of General Practitioners, Mayfield West, New South Wales, Australia"
      ],
      "name": "Anna Ralston"
    },
    {
      "affiliations": [
        "School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia",
        "General Practice Training Research, Royal Australian College of General Practitioners, Mayfield West, New South Wales, Australia"
      ],
      "name": "Amanda Tapley"
    },
    {
      "affiliations": [
        "School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia"
      ],
      "name": "Elizabeth G Holliday"
    },
    {
      "affiliations": [
        "Faculty of Health, Medicine and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, Australia"
      ],
      "name": "Ben Mitchell"
    },
    {
      "affiliations": [
        "School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia"
      ],
      "name": "Ian Charlton"
    },
    {
      "affiliations": [
        "Health Services Group, Murdoch Children’s Research Institute, Parkville, Victoria, Australia",
        "Department of General Medicine, The Royal Children’s Hospital, Parkville, Victoria, Australia"
      ],
      "name": "Katherine Chen"
    },
    {
      "affiliations": [
        "Data Sciences, Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia"
      ],
      "name": "Jason Dizon"
    },
    {
      "affiliations": [
        "School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia",
        "General Practice Training Research, Royal Australian College of General Practitioners, Mayfield West, New South Wales, Australia"
      ],
      "name": "Dominica Moad"
    },
    {
      "affiliations": [
        "School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia",
        "General Practice Training Research, Royal Australian College of General Practitioners, Mayfield West, New South Wales, Australia"
      ],
      "name": "Alison Fielding"
    },
    {
      "affiliations": [
        "School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia",
        "General Practice Training Research, Royal Australian College of General Practitioners, Mayfield West, New South Wales, Australia"
      ],
      "name": "Andrew Davey"
    },
    {
      "affiliations": [
        "Faculty of Health, Medicine and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, Australia"
      ],
      "name": "Mieke van Driel"
    },
    {
      "affiliations": [
        "GP Training Medical Education, Royal Australian College of General Practitioners, Hobart, Tasmania, Australia"
      ],
      "name": "Lisa Clarke"
    },
    {
      "affiliations": [
        "Faculty of Health, Medicine and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, Australia"
      ],
      "name": "Geoffrey Spurling"
    },
    {
      "affiliations": [
        "School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia",
        "General Practice Training Research, Royal Australian College of General Practitioners, Mayfield West, New South Wales, Australia"
      ],
      "name": "Parker Magin"
    }
  ],
  "title": "Use of point-of-care resources for management of paediatric asthma: frequency, types and temporal trends in early-career general practitioners",
  "uid": "fbbcef11-56c9-50fe-a59b-4ebf8dc810da"
}