Patient- and Family-Centered Care as an approach to reducing disparities in asthma outcomes in urban African American children: A review of the literature.

Autor:	Harper FW; Karmanos Cancer Institute Population Studies and Disparities Research Program, Department of Oncology, Wayne State University School of Medicine. Electronic address: harperf@karmanos.org., Eggly S; Karmanos Cancer Institute Population Studies and Disparities Research Program, Department of Oncology, Wayne State University School of Medicine., Crider B; Beverly Crider, Children's Hospital of Michigan., Kobayashi H; Children's Hospital of Michigan., Kathleen RN; Children's Hospital of Michigan, Department of Pediatrics, Wayne State University School of Medicine., Meert L; Children's Hospital of Michigan, Department of Pediatrics, Wayne State University School of Medicine., Ball A; Children's Hospital of Michigan, Department of Pediatrics, Wayne State University School of Medicine., Penner LA; Karmanos Cancer Institute Population Studies and Disparities Research Program, Department of Oncology, Wayne State University School of Medicine., Gray H; Children's Hospital of Michigan, Department of Pediatrics, Wayne State University School of Medicine., Albrecht TL; Karmanos Cancer Institute Population Studies and Disparities Research Program, Department of Oncology, Wayne State University School of Medicine.
Jazyk:	angličtina
Zdroj:	Journal of the National Medical Association [J Natl Med Assoc] 2015 Jun; Vol. 107 (2), pp. 4-17. Date of Electronic Publication: 2015 Dec 02.
DOI:	10.1016/S0027-9684(15)30019-5
Abstrakt:	We thank Cathy Eames (Director, Library Services, Detroit Medical Center) for valuable input and assistance with the search strategy. Funding for this research was supported by a grant from Children's Hospital of Michigan Research Foundation (Principal Investigator: Terrance L. Albrecht, Ph.D.). Background: Patient- and family-centered care (PFCC) has the potential to address disparities in access and quality of healthcare for African American pediatric asthma patients by accommodating and responding to the individual needs of patients and families. Study Objectives: To identify and evaluate research on the impact of family-provider interventions that reflect elements of PFCC on reducing disparities in the provision, access, quality, and use of healthcare services for African American pediatric asthma patients. Methods: Electronic searches were conducted using PubMed, CINAHL, and Psyclnfo databases. Inclusion criteria were peer-reviewed, English-language articles on family-provider interventions that (a) reflected one or more elements of PFCC and (b) addressed healthcare disparities in urban African American pediatric asthma patients (≤18years). Results: Thirteen interventions or programs were identified and reviewed. Designs included randomized clinical trials, controlled clinical trials, pre- and post-interventions, and program evaluations. Conclusions: Few interventions were identified as explicitly providing PFCC in a pediatric asthma context, possibly because of a lack of consensus on what constitutes PFCC in practice. Some studies have demonstrated that PFCC improves satisfaction and communication during clinical interactions. More empirical research is needed to understand whether PFCC interventions reduce care disparities and improve the provision, access, and quality of asthma healthcare for urban African American children. Electronic Databases Used: PubMed, CINAHL, and Psyclnfo Abbreviations: AA-African American: CCT-Controlled clinical trial; ED-Emergency Department; ETS-Environmental tobacco smoke; FCC- Family Centered Care; PFCC-Patient and Family Centered Care; RCT- Randomized, controlled trial. (© 2015 National Medical Association. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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