Improving Asthma Care for African American Children by Increasing National Asthma Guideline Adherence
| Autor: | Stanislaus Ting, Karen Rance, Mary C. O'Laughlen |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Adolescent Population Asthma care Patient Education as Topic Adrenal Cortex Hormones Administration Inhalation medicine Humans Medical prescription Child Intensive care medicine education Asthma African american Medical Audit education.field_of_study Descriptive statistics Guideline adherence business.industry Guideline medicine.disease United States Black or African American Child Preschool Pediatrics Perinatology and Child Health Patient Compliance business |
| Zdroj: | Journal of Pediatric Health Care. 25:235-249 |
| ISSN: | 0891-5245 |
| DOI: | 10.1016/j.pedhc.2010.04.010 |
| Popis: | Introduction Children, particularly African American children, bear a disproportionate burden of asthma and are at highest risk for associated morbidity and mortality. The under-utilization of the National Asthma Education and Prevention Program (NAEPP) guidelines across all demographics and the under use of inhaled corticosteroids (ICS) as controller therapy in these children are well-documented. The primary aim of this study was to increase health care provider (HCP) adherence to the NAEPP guidelines by means of a guideline reminder tool, the Multi-colored Simplified Asthma Guideline Reminder, consequently increasing the prescription of ICS in this population. Method This study had a pre-experimental design with descriptive analysis. Results The Multi-colored Simplified Asthma Guideline Reminder was effective in increasing HCP adherence to the NAEPP guidelines as evidenced by increased use of ICS as controller therapy. Discussion Despite the increasing prevalence and burden of asthma in African American children, the associated prescriptive use of ICS has not increased substantially in the past decade. The greatest obstacle in the scope of improving asthma outcomes is the underuse of ICS by HCPs. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect