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Treatment regimens and health care utilization in children with persistent asthma symptoms

H Lorrie Yoos1, Harriet Kitzman, Jill S Halterman

  • 1Department of Pediatrics, School of Medicine and Dentistry, University of Rochester, New York, Rochester, USA. lorrie.yoos@urmc.rochester.edu

The Journal of Asthma : Official Journal of the Association for the Care of Asthma
|June 28, 2006
PubMed

Insights

Many children with persistent asthma do not receive optimal anti-inflammatory treatment, leading to ongoing symptoms. This highlights gaps in medication adherence and healthcare utilization for pediatric asthma management.

Area of Science:

  • Pediatric Pulmonology
  • Asthma Management
  • Health Services Research

Background:

  • Persistent asthma in children requires consistent anti-inflammatory medication for symptom control.
  • National Asthma Education and Prevention Program (NAEPP) guidelines exist to standardize treatment.
  • Suboptimal treatment and healthcare utilization can lead to poor asthma outcomes in children.

Purpose of the Study:

  • To evaluate anti-inflammatory medication regimens in children with persistent asthma.
  • To determine healthcare utilization patterns in this population.
  • To identify factors contributing to inadequate asthma treatment and care.

Main Methods:

  • Study involved parents of children qualifying for anti-inflammatory medications per NAEPP guidelines.
  • Data collected on reported medication use, regimen optimality, and symptom status.
  • Healthcare utilization and documented treatment actions were analyzed.

Main Results:

  • Only 68% of eligible children had their parents report anti-inflammatory medication use.
  • A mere 14% received an optimal regimen; 55% remained symptomatic despite reported use.
  • Nearly half of symptomatic children lacked a healthcare visit, and 61% of those with visits had no documented corrective action.

Conclusions:

  • Significant discrepancies exist between recommended and actual anti-inflammatory medication use in children with persistent asthma.
  • Gaps in healthcare seeking and appropriate medical intervention contribute to suboptimal asthma control.
  • Further research is needed to address barriers to effective pediatric asthma management and improve patient outcomes.

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