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Published on: November 4, 2010
Comprehensive asthma management for underserved children
Shannon M Thyne1, Andrea K Marmor, Nanette Madden
1Department of Pediatrics, University of California, San Francisco, CA, USA. sthyne@sfghpeds.ucsf.edu
Insights
The Yes We Can Urban Asthma Partnership uses a medical/social model to manage childhood asthma in San Francisco. This program successfully addresses pediatric asthma in underserved urban communities.
Area of Science:
- Public Health
- Pediatrics
- Community Health
Background:
- The escalating prevalence of childhood asthma, termed an 'asthma epidemic', necessitates innovative care models.
- Underserved urban populations face significant challenges in accessing effective pediatric asthma management.
Purpose of the Study:
- To outline the development and implementation of the Yes We Can Urban Asthma Partnership.
- To evaluate the success of a comprehensive medical/social model for pediatric asthma care in an urban setting.
Main Methods:
- Formation of the Yes We Can Urban Asthma Partnership by local San Francisco organizations.
- Outreach to high-risk children across various clinical settings including urgent care, hospitalizations, specialty clinics, and community health worker programs.
- Implementation of a blended medical and social determinants of health approach to care.
Main Results:
- The program demonstrated initial success in its development and implementation phases.
- The comprehensive model effectively reached high-risk pediatric populations in underserved urban areas.
- Evaluation indicates a positive impact of the innovative management program.
Conclusions:
- The Yes We Can Urban Asthma Partnership provides a successful model for addressing pediatric asthma in urban communities.
- A comprehensive medical/social approach is effective in managing childhood asthma, particularly in vulnerable populations.
- This initiative highlights the potential for community-based partnerships to combat public health challenges like the asthma epidemic.
Abstract:
In response to the 'asthma epidemic', local organisations in San Francisco formed the Yes We Can Urban Asthma Partnership, which uses a comprehensive medical/social model for paediatric asthma care. The Yes We Can Urban Asthma Partnership reaches out to high-risk children in different clinical settings: urgent visits, the hospital, a comprehensive specialty asthma clinic, and through an expanded community health worker programme. This article highlights the initial development, implementation, and evaluation of the success of this innovative management programme to address the problem of paediatric asthma in underserved urban areas.
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