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Barriers in asthma care for pediatric patients in primary care

Cindy A Trent, Kathie S Zimbro, Carolyn M Rutledge

    Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners
    |September 6, 2014
    PubMed

    Insights

    Children with uncontrolled asthma miss more school days and have parents with less asthma knowledge. Addressing care barriers is key to improving asthma control in children.

    Area of Science:

    • Pediatric Pulmonology
    • Health Services Research
    • Asthma Management

    Background:

    • Barriers to care significantly impact treatment outcomes for pediatric asthma.
    • Understanding differences in outcomes based on asthma control status is crucial for targeted interventions.

    Purpose of the Study:

    • To compare quality of life, healthcare utilization, parental knowledge, and care barriers in children with controlled versus uncontrolled asthma.
    • To identify factors associated with asthma control in pediatric populations.

    Main Methods:

    • Cross-sectional analysis of caregiver data from two groups of children with asthma (controlled vs. uncontrolled).
    • Utilized the Asthma Knowledge Test and Asthma Barrier Questionnaire to assess parental understanding and perceived obstacles to care.

    Main Results:

    • Children with uncontrolled asthma experienced 33.3% more school absences compared to those with controlled asthma.
    • Caregivers of children with controlled asthma demonstrated higher scores on the Asthma Knowledge Test and lower scores on the Asthma Barrier Questionnaire, indicating better understanding and fewer perceived barriers.

    Conclusions:

    • Achieving asthma control in children is paramount for improving health and educational outcomes.
    • Identifying and addressing specific barriers to care allows healthcare providers to develop individualized action plans, optimizing pediatric asthma management.
    Abstract

    Keywords:
    Pediatric asthmabarrierscaregiversknowledge

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