Community asthma initiative: evaluation of a quality improvement program for comprehensive asthma care

Pediatrics
Elizabeth R WoodsShari Nethersole

Abstract

The objective of this study was to assess the cost-effectiveness of a quality improvement (QI) program in reducing asthma emergency department (ED) visits, hospitalizations, limitation of physical activity, patient missed school, and parent missed work. Urban, low-income patients with asthma from 4 zip codes were identified through logs of ED visits or hospitalizations, and offered enhanced care including nurse case management and home visits. QI evaluation focused on parent-completed interviews at enrollment, and at 6- and 12-month contacts. Hospital administrative data were used to assess ED visits and hospitalizations at enrollment, and 1 and 2 years after enrollment. Hospital costs of the program were compared with the hospital costs of a neighboring community with similar demographics. The program provided services to 283 children. Participants were 55.1% male; 39.6% African American, 52.3% Latino; 72.7% had Medicaid; 70.8% had a household income <$25 000. Twelve-month data show a significant decrease in any (≥1) asthma ED visits (68.0%) and hospitalizations (84.8%), and any days of limitation of physical activity (42.6%), patient missed school (41.0%), and parent missed work (49.7%) (all P < .0001). Patients with greatest...Continue Reading

References

Apr 1, 2004·American Journal of Public Health·Rosalind J WrightDiane R Gold
Sep 10, 2004·The New England Journal of Medicine·Wayne J MorganUNKNOWN Inner-City Asthma Study Group
Jan 27, 2005·American Journal of Public Health·Stephen W NicholasVincent Hutchinson
Jan 31, 2006·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Martin J La RocheLeyla Gualdron
Jun 28, 2006·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·J E CloughertyJ D Spengler
Nov 10, 2006·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Shannon M ThyneMary Beth Love
Mar 17, 2007·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Paula KarnickDaniel Johnson
Feb 6, 2008·Archives of Pediatrics & Adolescent Medicine·Roger L ZemekFrancine M Ducharme
Jun 6, 2009·The New England Journal of Medicine·Michael E Porter
Oct 30, 2009·The New England Journal of Medicine·Diane R RittenhouseElliott S Fisher
Aug 21, 2010·Journal of Public Health Management and Practice : JPHMP·James KriegerDarryl C Zeldin
Jan 8, 2011·The Journal of Allergy and Clinical Immunology·Sarah Beth L Barnett, Tursynbek A Nurmagambetov
Nov 15, 2011·Progress in Community Health Partnerships : Research, Education, and Action·Susan J SommerElizabeth R Woods

❮ Previous
Next ❯

Citations

Dec 29, 2013·Current Opinion in Pulmonary Medicine·M Bradley Drummond
Jun 27, 2014·Preventing Chronic Disease·William S PearsonScott A Miller
Oct 31, 2014·Journal of General Internal Medicine·Stefan G KerteszCarol VanDeusen Lukas
Nov 9, 2012·Expert Review of Respiratory Medicine·Deborah N Pearlman
Jun 4, 2014·Journal for Specialists in Pediatric Nursing : JSPN·Michele R Shaw, Gail Oneal
Nov 19, 2014·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Shumyla RashidStanley Galant
Jan 15, 2013·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Urmi BhaumikElizabeth R Woods
May 4, 2016·Current Opinion in Pediatrics·John S Adams, Elizabeth R Woods
Sep 15, 2016·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Urmi BhaumikElizabeth R Woods
Sep 16, 2016·American Journal of Public Health·Mary R JanevicFloyd J Malveaux
Sep 24, 2016·The Journal of Allergy and Clinical Immunology. in Practice·Joy HsuElizabeth Herman
Dec 17, 2016·The Journal of Pediatrics·Jay G BerryMark I Neuman
Jan 25, 2017·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Nadia L KruppStephanie D Davis
Dec 5, 2016·The Journal of Allergy and Clinical Immunology. in Practice·Andrea A PappalardoMolly A Martin
Apr 25, 2017·Clinical Pediatrics·Faye Holder-NilesJoanne E Cox
Mar 18, 2017·Annals of Emergency Medicine·Laurie H JohnsonKatherine A Auger
Nov 6, 2018·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Rebecca E PenziasElizabeth R Woods
Feb 17, 2018·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Matthew RankDenis Cortese
Dec 2, 2014·Professional Case Management·Yvonne M Sterling, Lisa J Linville
Oct 1, 2019·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Jamie M PintoAnna Petrova
Jun 25, 2020·American Journal of Community Psychology·Robin S EverhartUNKNOWN Engaging Richmond Team
Jul 11, 2020·Journal of Primary Care & Community Health·Margaret B Nguyen
Jul 17, 2020·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Ekaterini LambrinouGeraldine A Lee
Sep 24, 2020·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Juha BaekGenny Carrillo
Jan 22, 2019·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Urmi BhaumikElizabeth R Woods
Nov 23, 2019·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Julie L SwannChrista-Marie Singleton
Feb 7, 2020·Preventing Chronic Disease·Erica T MarshallJean M Zotter
Jul 28, 2020·Archives of Disease in Childhood·Ian P SinhaJustus Simba
Oct 24, 2014·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Ayobami T AkenroyeAnne M Stack
Aug 18, 2016·PloS One·Lauren A TaylorElizabeth H Bradley
May 4, 2017·Global Qualitative Nursing Research·Anna RosofskyMadeleine K Scammell
Feb 9, 2018·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Kristen WelkerJonathan Bernstein
Sep 10, 2019·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Yingbo LouSarah Sabalot
Mar 13, 2020·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Sirikan RojanasarotJon C Schommer
Oct 9, 2020·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Melike YildirimJulie L Swann
Jan 14, 2021·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Sin Mei KhawNurul Ain Mohd Tahir
Nov 19, 2020·Pediatric Quality & Safety·Sydney LeibelPhyllis Hartigan
Feb 17, 2021·Allergy, Asthma, and Clinical Immunology : Official Journal of the Canadian Society of Allergy and Clinical Immunology·Mei ChanNusrat Homaira
Nov 19, 2013·The Journal of Pediatrics·Chén C KenyonJay G Berry

❮ Previous
Next ❯

Related Concepts

Related Feeds

Asthma

This feed focuses in Asthma in which your airways narrow and swell. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.

Related Papers

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Wesley H SelfThomas R Talbot
© 2022 Meta ULC. All rights reserved