Barriers to effective pediatric asthma care

Martha K Swartz1, Nancy Cantey Banasiak, Mikki Meadows-Oliver

  • 1Yale University School of Nursing, New Haven, CT 06536-0740, USA. martha.swartz@yale.edu

Insights

Childhood asthma remains prevalent despite advances. Initiatives like the Asthma Care Coordination Project and Asthma Outreach Program at Yale New Haven Hospital address care disparities and environmental factors to improve pediatric asthma management.

Area of Science:

  • Pediatric pulmonology
  • Healthcare disparities
  • Asthma management

Background:

  • Childhood asthma prevalence remains high despite advances in understanding its pathophysiology and quality care.
  • Key barriers include environmental risk factors, socioeconomic and cultural disparities, and inconsistent clinical quality.
  • Pediatric nurse practitioners are crucial in implementing guidelines and addressing care gaps.

Purpose of the Study:

  • To describe initiatives implemented by pediatric nurse practitioners to improve pediatric asthma care.
  • To address disparities in asthma healthcare access and quality.
  • To provide resources for practitioners managing childhood asthma.

Main Methods:

  • Implementation of the Asthma Care Coordination Project at a pediatric primary care center.
  • Establishment of an Asthma Outreach Program.
  • Dissemination of recommended resources and websites for practitioners.

Main Results:

  • Active implementation of recommended asthma care guidelines.
  • Initiatives aimed at mitigating disparities in asthma healthcare.
  • Development of structured care coordination and outreach programs.

Conclusions:

  • Targeted interventions by pediatric nurse practitioners can address barriers to effective asthma care.
  • Care coordination and outreach programs show promise in reducing disparities.
  • Continued efforts are needed to improve childhood asthma outcomes.

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