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.

Related Concept Videos

Asthma-IV: Nursing Management01:30

Asthma-IV: Nursing Management

The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
Asthma-IV: Diagnostic and Management01:30

Asthma-IV: Diagnostic and Management

The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Asthma: Pathogenesis and Management01:20

Asthma: Pathogenesis and Management

Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma-III: Symptoms and Complications01:24

Asthma-III: Symptoms and Complications

Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Asthma-I: Introduction01:29

Asthma-I: Introduction

Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
Antiasthma Drugs: Mast Cell Stabilizers and Anti-IgE Drugs01:25

Antiasthma Drugs: Mast Cell Stabilizers and Anti-IgE Drugs

Asthma is a chronic respiratory condition for which new therapeutic avenues, including anti-inflammatory drugs like mast cell stabilizers and anti-IgE treatments, continue to be developed.
Mast cell stabilizers, such as cromolyn (also known as sodium cromoglycate) and nedocromil (Tilade), are effective drugs in asthma management. These stabilizers hinder histamine release by skillfully obstructing the activation of mast cells and other cellular entities. Notably, they navigate this task without...