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What constitutes maintenance asthma care? The pediatrician's perspective
Jane Garbutt1, Gordon Bloomberg, Christina Banister
1Department of Medicine, Washington University School of Medicine, St Louis, MO 63110, USA. jgarbutt@im.wustl.edu
Summary
Pediatricians report providing maintenance care for children with persistent asthma, but practices often fall short of optimal standards. Key areas for improvement include asthma control assessment, medication adherence, and family-centered self-management support.
Area of Science:
- Pediatric Pulmonology
- Asthma Management
- Healthcare Quality Improvement
Background:
- Persistent asthma in children requires ongoing maintenance care.
- Pediatrician practices in asthma maintenance care vary.
- Identifying gaps in care can improve patient outcomes.
Purpose of the Study:
- To describe how pediatricians provide maintenance care for children with persistent asthma.
- To identify opportunities for improving asthma maintenance care.
- To assess current pediatrician practices in asthma management.
Main Methods:
- Anonymous survey distributed to community pediatricians in St. Louis, Missouri.
- Survey included 34 items on prescribing inhaled corticosteroids and assessing asthma control.
- Data collected from June 2005 to October 2005.
Main Results:
- 135 pediatricians responded (60% response rate).
- Most prescribed inhaled corticosteroids (median 80%) but fewer assessed school absences (58%) or family impact (24%).
- Gaps identified in assessing asthma control, medication adherence, and collaborative goal setting.
Conclusions:
- Pediatrician self-reported asthma management practices indicate room for improvement.
- Enhancing assessment of asthma control, adherence, and family collaboration is crucial.
- Interventions are needed to support physicians in optimizing asthma care and reducing morbidity.
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