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Published on: November 4, 2010
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.
Abstract:
Although progress has been made in understanding the pathophysiology of asthma and identifying key features of quality asthma care, the prevalence of childhood asthma remains high. Barriers to effective asthma care that currently exist include the persistence of environmental risk factors, disparities in care that stem from poverty and cultural differences, and inconsistencies in the quality of asthma care provided by clinicians. Pediatric nurse practitioners at Yale New Haven Children's Hospital have actively implemented the recommended guidelines for asthma care and addressed causes for some of the disparities in asthma health care. Two major initiatives are described: the Asthma Care Coordination Project at Yale New Haven Hospital Pediatric Primary Care Center, and the establishment of an Asthma Outreach Program. Recommended resources and Web sites for the practitioner are also provided.
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