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Best practices for pediatric asthma: improved clinical management for the inner-city patient
1Division of Allergy and Immunology, University of Southern California School of Medicine, Los Angeles, CA, USA.
Insights
Inner-city asthma patients face significant barriers to care, impacting health outcomes. Effective asthma management requires comprehensive action plans and addressing access issues for better control and reduced exacerbations.
Area of Science:
- Environmental Health
- Public Health
- Pulmonology
Background:
- Urban asthma patients encounter numerous challenges impacting health outcomes.
- Barriers to care, including treatment access and disease perception, contribute to high morbidity rates in inner-city populations.
Purpose of the Study:
- To outline the objectives of asthma therapy and effective asthma programs.
- To highlight the importance of comprehensive treatment strategies and action plans for managing asthma in urban settings.
Main Methods:
- Review of challenges faced by inner-city asthma patients.
- Analysis of asthma therapy objectives and program goals.
- Reference to the 1997 National Institutes of Health (NIH) report guidelines.
Main Results:
- Poor access and quality of care are linked to high asthma morbidity in urban populations.
- Effective asthma management aims to control inflammation, prevent exacerbations, and maintain normal activity levels.
- Implementation of action plans requires significant physician and patient effort but can be highly effective.
Conclusions:
- Addressing barriers to care is crucial for improving outcomes in urban asthma patients.
- Comprehensive asthma management programs, guided by established reports, are essential for patient well-being.
- Personalized action plans, though challenging to implement, are key to achieving optimal asthma control.
Abstract:
Asthma patients who live in urban areas face many challenges that contribute to and influence poor outcomes. Many inner-city asthma patients are burdened with significant barriers to care, which include difficulty in obtaining short- and long-term treatment and misperceptions about the chronic nature of the disease. Poor access to care, poor quality of care, or both have been shown to contribute to the high morbidity rate in this population. The objective of asthma therapy is to interrupt allergen/antigen exposures wherever possible and to control airway inflammation. The goal of an effective asthma program is to prevent exacerbations of the disease, achieve and maintain normal activity levels and normal or near-normal lung function, and achieve a personal best for each patient with an effective action plan. An effective action plan is often difficult to implement because it takes much effort from both physician and patient to incorporate complete treatment strategies. Nevertheless, over time these plans can be very effective. The 1997 NIH report provides specific guidelines to help accomplish these goals.
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