The effect of geographic access on severe health outcomes for pediatric asthma

The Journal of Allergy and Clinical Immunology
Erin GarciaAnne Fitzpatrick

Abstract

Access to medical care and severe pediatric asthma outcomes vary with geography, but the relationship between them has not been studied. We sought to evaluate the relationship between geographic access and health outcomes for pediatric asthma. The severe outcome measures include emergency department (ED) visits and hospitalizations for children with an asthma diagnosis in Georgia and North Carolina. We quantify asthma prevalence, outcome measures, and factors included in the statistical model using multiple data sources. We calculate geographic access to primary and asthma specialist care using optimization models. We estimate the association between outcomes and geographic access in the presence of other factors using logistic regression. The model is used to project the reduction in severe outcomes with improvement in access. The association between access and outcomes for pediatric asthma depends on the type of outcome measure, type of care, and variations in other factors. The expression of this association is also different for the 2 states. Access to primary care plays a larger role than access to specialist care in explaining Georgia ED visits, whereas the reverse applies for hospitalizations. In North Carolina access to...Continue Reading

References

Aug 12, 1998·American Journal of Respiratory and Critical Care Medicine·E M ZorattiB McCarthy
Oct 30, 1998·Journal of Public Health Medicine·A P JonesN J Wareham
May 10, 2002·The European Respiratory Journal·K M MortimerI B Tager
Aug 8, 2002·Pediatrics·Lara J Akinbami, Kenneth C Schoendorf
May 3, 2003·Pediatrics·Edwin D BoudreauxUNKNOWN Multicenter Airway Research Collaboration Investigators
Dec 16, 2003·Ethnicity & Health·James E SedgwickMartin C Gulliford
Jun 5, 2004·The European Respiratory Journal·L AntonicelliD D Yin
Dec 13, 2005·Health & Place·Jason CorburnMichael Porter
Feb 8, 2006·The Journal of Allergy and Clinical Immunology·Ruchi S GuptaKevin B Weiss
Apr 4, 2006·Environmental Health Perspectives·Richard D CohnDarryl C Zeldin
Jun 27, 2006·American Journal of Epidemiology·Jonathan S SchildcroutGail G Shapiro
Sep 16, 2008·Cleveland Clinic Journal of Medicine·David M Lang
Apr 16, 2009·Pediatrics·Lara J AkinbamiEdward J Sondik
Jun 19, 2009·American Journal of Respiratory and Critical Care Medicine·Helen K ReddelUNKNOWN American Thoracic Society/European Respiratory Society Task Force on Asthma Control and Exacerbations
Apr 17, 2012·Health & Place·Laura BissonnetteTayyab Ikram Shah

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Citations

Aug 9, 2016·The Journal of Allergy and Clinical Immunology·Andrew H LiuStanley J Szefler
Jan 6, 2017·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Tonny J OyanaStephania Cormier
May 10, 2017·Current Allergy and Asthma Reports·Robin Dawson Estrada, Dennis R Ownby
Apr 7, 2018·BMC Health Services Research·Guido FillerUNKNOWN Paediatric Chairs of Canada Mark Bernstein
May 28, 2019·International Journal for Equity in Health·Abigail E MuddChristopher B Forrest
Nov 5, 2019·Pediatrics in Review·Shilpa J Patel, Stephen J Teach
May 31, 2019·Preventing Chronic Disease·Annie GjelsvikPatrick M Vivier
Dec 12, 2020·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Melike YildirimPinar Keskinocak
Jan 23, 2021·Health Services Research·Stewart Curry, Nicoleta Serban
Mar 29, 2021·The Journal of Pediatrics·Nelangi M PintoRichard Nelson
Jun 22, 2021·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Emily E JohnsonKathryn R Sterba
Jul 13, 2021·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Yonsu KimKatrina Miller Parrish

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