title: Implementation of European standards of care for cystic fibrosis - provision of care.
abstract: BACKGROUND
  Several guidelines for cystic fibrosis (CF) caregivers exist, but information about their implementation is lacking.
  
  
  METHODS
  Adherence to European Consensus Guidelines for CF was studied by sending surveys to named healthcare professionals in 487 CF centres/units. Data were analysed qualitatively.
  
  
  RESULTS
  Data were obtained from 177 CF clinics, providing care for 21,177 patients (33% response rate). Access to specialist healthcare professionals was good according to 80% of respondents, although only 59% reported access to specialist pharmacists. Of the respondents, 16% reported unlimited access to inpatient CF beds, however 22% reported a lack of availability of immediate care. Most respondents (84%) reviewed their patients quarterly as outpatients. Shared-care models were used by 84% of respondents. Availability and adequacy of funding presented an issue for many, although 8% of respondents indicated that key funding was derived from CF charities.
  
  
  CONCLUSIONS
  The respondents demonstrated a high degree of implementation of European Consensus Guidelines. However, areas for improvement include shared care, access to care and funding inequalities.
authors.affiliation: Centre for Infection an Immunity, Queen's University, Belfast City Hospital, UK. stuart.elborn@bch.n-i.nhs.uk
authors.forename: J S
authors.initials: JS
authors.lastname: Elborn
authors.forename: M
authors.initials: M
authors.lastname: Hodson
authors.forename: C
authors.initials: C
authors.lastname: Bertram
mesh_terms: D017028:Caregivers; D003550:Cystic Fibrosis / Q000628:therapy*; D005060:Europe; D019983:Guideline Adherence; D019538:Health Care Surveys; D006801:Humans; D005791:Patient Care / Q000592:standards*; D017410:Practice Guidelines as Topic; D011795:Surveys and Questionnaires