Pediatric asthma care coordination in underserved communities: A quasiexperimental study

M.R. Janevic, S. Stoll, M. Wilkin, P.X.K. Song, A. Baptist, M. Lara, G. Ramos-Valencia, T. Bryant-Stephens, V. Persky, K. Uyeda, J.K. Lesch, W. Wang and F.J. Malveaux

American Journal of Public Health, 2016, vol. 106, issue 11, 2012-2018

Abstract: Objectives. To assess the effect of care coordination on asthma outcomes among children in underserved urban communities. Methods. We enrolled children, most of whom had very poorly or not well-controlled asthma, in medical-social care coordination programs in Los Angeles, California; Chicago, Illinois; Philadelphia, Pennsylvania; and San Juan, Puerto Rico in 2011 to 2014. Participants (n = 805; mean age = 7 years) were 60% male, 50% African American, and 42% Latino.We assessed asthma symptoms and health care utilization via parent interview at baseline and 12 months. To prevent overestimation of intervention effects, we constructed a comparison group using bootstrap resampling of matched control cases from previous pediatric asthma trials. Results. At follow-up, intervention participants had 2.2 fewer symptom days per month (SD = 0.3; P

Keywords: adolescent; African American; asthma; child; disease management; ethnology; female; health care planning; health service; Hispanic; home visit; human; male; patient education; preschool child; urban population; utilization, Adolescent; African Americans; Asthma; Child; Child, Preschool; Disease Management; Female; Health Services; Hispanic Americans; House Calls; Humans; Male; Medically Underserved Area; Patient Education as Topic; Urban Population (search for similar items in EconPapers)
Date: 2016
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2016.303373_7

DOI: 10.2105/AJPH.2016.303373

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