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Challenges in providing preventive care to inner-city children with asthma

Arlene M Butz1, Joan Kub, Melissa H Bellin

  • 1Department of Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA. abutz@jhmi.edu

The Nursing Clinics of North America
|May 11, 2013
PubMed

Insights

Preventive care for inner-city children with asthma is low due to challenges like access to care and environmental factors. Addressing these barriers is crucial for improving child asthma outcomes.

Area of Science:

  • Pediatric Pulmonology
  • Public Health
  • Environmental Health

Background:

  • Asthma management and understanding have advanced, yet inner-city children face persistent high morbidity and low preventive care rates.
  • Despite improved asthma therapies, significant disparities in care quality and outcomes persist for vulnerable urban populations.

Purpose of the Study:

  • To identify and analyze major challenges hindering preventive asthma care for inner-city children.
  • To provide evidence-based recommendations for pediatric nurses to improve asthma preventive care in urban settings.

Main Methods:

  • Review of existing evidence on asthma care barriers.
  • Analysis of authors' decade-long research observations in inner-city pediatric asthma populations.
  • Examination of cost implications for preventive care strategies.

Main Results:

  • Four key challenges identified: patient/family beliefs, access to quality care, psychosocial factors, and environmental influences.
  • Cost is a significant consideration impacting the feasibility of implementing preventive care measures.
  • Existing research and clinical observations highlight the multifaceted nature of these barriers.

Conclusions:

  • Targeted interventions addressing patient beliefs, healthcare access, psychosocial support, and environmental exposures are necessary.
  • Pediatric nurses play a vital role in overcoming these challenges and advocating for improved preventive care.
  • Addressing systemic and individual barriers is essential to reduce asthma morbidity in inner-city children.

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