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Multidisciplinary education and management program for children with asthma

D S Chan1, C W Callahan, C Moreno

  • 1Department of Pediatrics, Tripler Army Medical Center, Honolulu, HI, USA. asthmaresearch@yahoo.com

American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
|August 10, 2001
PubMed

Insights

A multidisciplinary pediatric asthma management program significantly reduced hospitalizations. This coordinated care approach improved patient outcomes and decreased asthma-related admissions in children.

Area of Science:

  • Pediatric Pulmonology
  • Healthcare Management
  • Public Health

Background:

  • Asthma is a significant health concern in pediatric populations.
  • Previous asthma management strategies have shown variable success in reducing hospitalizations.
  • A need exists for coordinated, multidisciplinary approaches to pediatric asthma care.

Purpose of the Study:

  • To evaluate the effectiveness of a multidisciplinary, pharmacist-managed asthma program for children.
  • To assess the program's impact on asthma-related hospitalizations and patient outcomes.
  • To determine if a coordinated care model can improve asthma management in a pediatric setting.

Main Methods:

  • Implementation of a pharmacist-managed, pulmonologist-directed pediatric asthma program.
  • Inpatient asthma counseling and education provided by clinical pharmacists or nurse case managers.
  • Ambulatory care follow-up including education, goal setting, technique assessment, and compliance monitoring.

Main Results:

  • 90% of enrolled pediatric asthma patients (79/71) were not rehospitalized within two years.
  • Asthma-related hospital admissions decreased from 3.2 per 1000 population in 1997 to 1.9 per 1000 in 1999.
  • The program successfully managed 107 pediatric inpatients with asthma, enrolling 79 in ongoing care.

Conclusions:

  • A multidisciplinary approach to pediatric asthma management is effective in reducing hospitalizations.
  • Pharmacist-led asthma programs can improve patient care and decrease healthcare utilization.
  • Coordinated care models show promise for enhancing outcomes in pediatric chronic disease management.

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