Cultural competence policies and other predictors of asthma care quality for Medicaid-insured children

Pediatrics
Tracy A LieuHarold J Farber

Abstract

More than half of Medicaid enrollees are now in managed care. Scant information exists about which policies of practice sites improve quality of care in managed Medicaid. Children with asthma are a sentinel group for Medicaid quality monitoring because they are at elevated risk for adverse outcomes. The objective of this study was to identify practice-site policies and features associated with quality of care for Medicaid-insured children with asthma. A prospective cohort study with 1-year follow-up was conducted in 5 health plans in California, Washington, and Massachusetts. Data were collected via telephone interviews with parents at baseline and 1 year, surveys of practice sites and clinicians, and computerized databases. The practice site survey asked about policies to promote cultural competence, the use of several types of reports to clinicians, support for self-management of asthma, case management and care coordination, and access to and continuity of care. Quality of care was evaluated on the basis of 5 measures: 1) preventive medication underuse based on parent report; 2) the parent's rating of asthma care; 3) the 1-year change in the child's asthma physical status based on a standardized measure; 4) preventive medica...Continue Reading

References

Mar 2, 1994·JAMA : the Journal of the American Medical Association·L M Pachter
May 15, 1996·Annals of Internal Medicine·R Lavizzo-Mourey, E R Mackenzie
Mar 26, 1998·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·E I DinkevichE F Crain
Feb 16, 1999·Journal of Health Care for the Poor and Underserved·M LaraL Lange
Dec 10, 1999·Pediatrics·L AsmussenK B Weiss
Jun 13, 2000·Archives of Pediatrics & Adolescent Medicine·J A FinkelsteinR Platt
Nov 25, 2000·Medical Care Research and Review : MCRR·C Brach, I Fraser
Feb 24, 2001·Journal of Urban Health : Bulletin of the New York Academy of Medicine·S Felt-Lisk
May 1, 2001·Archives of Pediatrics & Adolescent Medicine·R J AdamsS T Weiss
Jan 31, 2002·Health Affairs·E H WagnerA Bonomi
Mar 13, 2002·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·D A ChristakisF A Connell
Apr 3, 2002·Pediatrics·Dimitri A ChristakisFrederick A Connell
Jun 1, 2002·Archives of Pediatrics & Adolescent Medicine·Jonathan A FinkelsteinTracy A Lieu
Jul 24, 2002·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·Jennifer Elston LafataGeorge Divine
Sep 18, 2003·JAMA : the Journal of the American Medical Association·Joseph W ThompsonJames E Bost

❮ Previous
Next ❯

Citations

Apr 17, 2009·Administration and Policy in Mental Health·Rafael M SemanskyCathleen E Willging
Feb 17, 2010·Journal of Clinical Psychology in Medical Settings·Daphne Koinis-MitchellGregory K Fritz
May 9, 2007·Journal of General Internal Medicine·Janice BlanchardNicole Lurie
May 4, 2011·Clinical Reviews in Allergy & Immunology·Albin B LeongJuan C Celedón
Mar 7, 2008·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Moira InkelasAlexander N Ortega
Sep 26, 2013·Pediatric Allergy, Immunology, and Pulmonology·Deepa RastogiStacy Kipperman
Sep 16, 2004·Current Opinion in Pediatrics·Kelly D Stone
Oct 25, 2012·Medical Care·Robert Weech-MaldonadoRon D Hays
Nov 14, 2008·Current Opinion in Pediatrics·Jane M BrotanekGlenn Flores
Oct 8, 2005·American Journal of Respiratory and Critical Care Medicine·Gary M HunninghakeJuan C Celedón
Dec 6, 2007·Chest·Michael D CabanaJay Shannon
Apr 4, 2012·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Tamara T PerryStacie M Jones
Jun 28, 2011·The Journal of Allergy and Clinical Immunology·Andrea J ApterThomas Ten Have
Oct 24, 2009·Social Science & Medicine·Nazli BaydarHyoshin Kim
May 19, 2009·The Journal of Allergy and Clinical Immunology·Glorisa CaninoCynthia S Rand
Jan 16, 2009·Pediatric Annals·Linda S Nield
Nov 28, 2006·Pediatric Clinics of North America·Glenn Flores, Emmanuel Ngui
Aug 11, 2006·Health Services Research·Nicole Lurie, Allen Fremont
Sep 8, 2006·Social Science & Medicine·Glorisa CaninoMargarita Alegría
Jun 27, 2013·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Andrea J ApterJason Roy
Feb 6, 2014·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Ayşenur KayaCan Naci Kocabas
Nov 22, 2013·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Sande O OkeloGayane Yenokyan
Jul 25, 2015·Advances in Pediatrics·Joyce R JavierFernando S Mendoza
Mar 31, 2015·The Journal of Pediatrics·Glenn FloresBrian G Hall
Nov 30, 2011·Health Promotion Practice·Sally FindleyMeera Viswanathan
Jun 11, 2015·The Journal of School Nursing : the Official Publication of the National Association of School Nurses·Robin Evans-Agnew
Jan 6, 2007·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Dula Pacquiao
May 5, 2017·Journal of Healthcare Management / American College of Healthcare Executives·Janice L DreachslinJoyce Anne Wainio
Jan 1, 2018·Journal of Immigrant and Minority Health·Consuelo M Beck-SagueJanvier Gasana
Mar 11, 2005·Health Affairs·Nicole LurieRisa Lavizzo-Mourey
Dec 19, 2007·The Journal of Continuing Education in the Health Professions·Robert E KristofcoWilliam Vega
Sep 18, 2010·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Heather L BlackAndrea J Apter
Sep 4, 2010·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Judith FifieldJoan Twiggs
Sep 15, 2020·The Journal of Infectious Diseases·Sophia A HussenIghovwerha Ofotokun
May 14, 2017·International Journal for Equity in Health·Janya McCalmanRoxanne Bainbridge
Apr 1, 2013·Journal of Community Psychology·Rafael M SemanskyCathleen E Willging
Feb 27, 2017·Maternal and Child Health Journal·Susan HorkyMichele Lossius
Apr 16, 2009·Pediatrics·Lara J AkinbamiEdward J Sondik

❮ 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.

© 2022 Meta ULC. All rights reserved