Improvements in health care use associated with community coalitions: Long-term results of the allies against asthma initiative

N.M. Clark, L.L. Lachance, M.B. Benedict, L.J. Doctor, L. Gilmore, C.S. Kelly, J. Krieger, M. Lara, J. Meurer, A.F. Milanovich, E. Nicholas, P.X.K. Song, M. Rosenthal, S.C. Stoll, D.F. Awad and M. Wilkin

American Journal of Public Health, 2013, vol. 103, issue 6, 1124-1127

Abstract: Objectives. We assessed changes in asthma-related health care use by lowincome children in communities across the country where 6 Allies Against Asthma coalitions (Hampton Roads, VA; Washington, DC; Milwaukee, WI; King County/Seattle, WA; Long Beach, CA; and Philadelphia, PA) mobilized stakeholders to bring about policy changes conducive to asthma control. Methods. Allies intervention zip codes were matched with comparison communities by median household income, asthma prevalence, total population size, and race/ethnicity. Five years of data provided by the Center for Medicare and Medicaid Services on hospitalizations, emergency department (ED) use, and physician urgent care visits for children were analyzed. Intervention and comparison sites were compared with a stratified recurrent event analysis using a Cox proportional hazard model. Results. In most of the assessment years, children in Allies communities were significantly less likely (P

Keywords: adolescent; ambulatory care; article; asthma; child; cohort analysis; cross-sectional study; demography; emergency health service; ethnology; female; health care delivery; health care organization; health promotion; hospitalization; human; male; medicaid; outcome assessment; poverty; preschool child; proportional hazards model; statistics; United States; utilization review, Adolescent; Ambulatory Care; Asthma; California; Child; Child, Preschool; Cohort Studies; Cross-Sectional Studies; Delivery of Health Care; District of Columbia; Emergency Service, Hospital; Female; Health Care Coalitions; Health Promotion; Hospitalization; Humans; Male; Medicaid; Outcome Assessment (Health Care); Philadelphia; Poverty; Proportional Hazards Models; Residence Characteristics; United States; Virginia; Washington; Wisconsin (search for similar items in EconPapers)
Date: 2013
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2012.300983_6

DOI: 10.2105/AJPH.2012.300983

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