Increased identification of the primary care provider as the main source of asthma care among urban minority children
| Autor: | Jennifer Jiggetts, Stephen J. Teach, Sabah F. Iqbal, Cheryl Silverbrook, Deborah Q. Shelef, Robert McCarter |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Parents Pulmonary and Respiratory Medicine medicine.medical_specialty Urban Population Specialty Physicians Primary Care 03 medical and health sciences Hospitals Urban Legal Guardians 0302 clinical medicine Ambulatory care 030225 pediatrics Intervention (counseling) Legal guardian Health care Electronic Health Records Humans Immunology and Allergy Medicine Prospective Studies 030212 general & internal medicine Child Prospective cohort study Minority Groups Asthma business.industry Hospitals Pediatric medicine.disease respiratory tract diseases Disadvantaged Black or African American Child Preschool Family medicine District of Columbia Pediatrics Perinatology and Child Health Female business |
| Zdroj: | Journal of Asthma. 53:938-942 |
| ISSN: | 1532-4303 0277-0903 |
| DOI: | 10.3109/02770903.2016.1171337 |
| Popis: | Urban, minority, and disadvantaged youth with asthma frequently use emergency departments (EDs) for episodic asthma care instead of their primary care providers (PCPs). We sought to increase the rate of guardians' identification of the PCP as the source of asthma care for their children through integrated electronic health records and care coordination.In this prospective cohort study, we implemented an electronic communication process between an asthma specialty clinic and PCPs coupled with short-term care coordination in sample of youth aged 2-12 years with asthma and surveyed their guardians at baseline and 3 and 6 months after the intervention.Guardians of 50 children (median age 5.8 years, 64% male, 98% African American, 94% public insurance) were enrolled. Compared to baseline, at 3 and 6 months after the intervention, significantly more guardians reported that the PCP was their child's primary asthma health care provider [70% at baseline, 85% at 3 months, 83% at 6 months (time averaged adjusted OR 77.4, 95% CI 3.0, 2027.1]. Further, significantly more guardians reported that they took their child to the PCP when the child experienced problems with his/her asthma [16% at baseline, 35% at 3 months, 41% at 6 months (time averaged adjusted odds ratio (OR) 10.6, 95% CI 2.7, 41.7].Care in a subspecialty asthma clinic augmented by electronic communication with PCPs and short term care coordination was associated with significantly improved identification of PCPs as the primary source of asthma care in a cohort of urban minority youth. |
| Databáze: | OpenAIRE |
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