Similar to this idea, the province of Alberta in Canada allows pharmacists to write prescriptions for patients with only the only limit that they can't prescribe controlled substances.
You appreciate this is the largest part of the problem, surely?
I think this is the point of the nurse practitioners that CVS (or was it walgreens/etc?) had in some of their stores a few years ago. When my kids were in day care and got frequent ear infections, I could tell by their behavior it was time to check their ears and.. well i'm not a doctor but I can probably tell if you have an ear infection with my cheazy/plastic over the counter otoscope I impulse purchased from said drug store. Going to the doctor to get the same prescription I had filled two months previously is just silly.
Same thing with my poison ivy...
I get that the initial diagnosis is the biggest part. But there is a ton of domain knowledge in drug interactions, expiration, etc that doctors just don't deal with on a daily basis. It makes sense to separate the jobs so each individual can get the best at their role. I don't mean to undermine diagnosis that's a huge deal, but I'd love to see doctors focus on what they do best.
Edit it will also lead to over prescribing of antibiotics and cause drug resistance to rise
Once a chronic but potentially well-managed condition is diagnosed, let people record their blood pressure, blood sugar, weight, and whatever and submit it for records. Let them renew their prescription with the pharmacy without spending hours finding an appointment that then takes hours to actually be seen. If their condition hasn't changed, once or twice a year with the doctor should be plenty.
But I suspect that they probably have two at most patients like me as opposed to the nephrology specialists who see dozens of people like me each week.
I have hypertension. I've had it for years. It doesn't just go away, but it doesn't (at least in my history) rapidly get worse. I can take my blood pressure at home and chart it. The same medication I have always taken works and at the same dosage. Yet most doctors want to see me every two months to renew the prescription, prescribing a one-month supply with one refill. The stuff's shelf stable for a few years. Why can't I get a six month prescription?
I'd hope not. I used to be asthmatic. At one point in my life, getting--and paying co-pay for--a doctor's appointment was not easy. There were nights when I weighed suffering a little longer against the risk of triggering an ER visit. Being able to go to a pharmacy to get albuterol would have made a tough time easier with minimal risk to anyone else.
No, I had to physically go to the doctor to get the prescription renewed every so often.
1) Eating better. Low level inflammation is terrible for people with auto-immune disorders, to which the trio of asthma, eczema, and allergies belong.
2) Moved closer to the ocean - salt air is great for the lungs, and really has a way of helping deal with any allergies you might have to local pollen
3) RUN! seriously, aerobic exercise for 45 minutes to an hour (anything less doesn't count) is a literal life-changer. Yeah, it really does suck for the first two weeks (if you're doing it every other day), but after that you'll start to feel amazing. You'll lose weight, which also helps with the breathing. And you'll have way more energy and higher happiness levels, which will help you want to move around more and be outside, which again will help with your asthma. Seriously, if I could do only one, this one is it. Run. Or swim if you can't (I only run on sand or dirt because my knees are shot).
Best of luck!
Part of the issue with exercise-induced asthma, for me personally, was also general nutrition and health - I found that as I earned more income, and switched to a diet higher in fats and vegetables and lower in carbohydrates, my condition significantly improved, providing a positive feedback loop with the exercise that eventually has brought me to being nearly symptom-free today (34). Your mileage may of course vary.
The main reason I focused so much on the running is because for most of my life I thought it would kill me, and always told myself that the reason that I didn't run is that it was bad for me. In the end it was exercising more and eating better (in a better environment) that saved me. Hopefully you'll find the trick for you - living with asthma is really unpleasant, to understate it.
I managed the allergic reactions that were causing it. Far too late in life, I discovered I'm allergic to grass. So I avoided hiking in grass and started popping a Zyrtec when my dog came back from running around in it. (I'm still allergic to my cat, but unless he sleeps on my chest it's manageable.) Solved the problem sufficiently that I no longer have an inhaler.