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Improving asthma care in rural primary care practices: a performance improvement project
The Journal of Continuing Education in the Health Professions
|December 23, 2014
Summary
A performance improvement program significantly enhanced asthma care in rural primary practices. The intervention improved asthma control assessment, action plan provision, controller prescriptions, and follow-up appointments for children and adults.
Area of Science:
- Public Health
- Primary Care Medicine
- Asthma Management
Background:
- Rural areas face healthcare disparities, including limited specialty services and a higher burden of asthma.
- Evidence-based asthma care guidelines are not consistently followed in underserved rural settings.
Purpose of the Study:
- To evaluate the impact of a performance improvement program on asthma care practices in rural primary care settings.
- To enhance asthma care delivery to be concordant with evidence-based guidelines.
Main Methods:
- A pre-post, quasi-experimental design was employed.
- A multifaceted intervention was delivered to multidisciplinary primary care teams.
- Data were collected via chart audits and surveys from healthcare teams.
Main Results:
- Statistically significant improvements were observed in all measured asthma care indicators.
- Asthma control assessment improved from 1% to 20%, and asthma action plan provision increased from 2% to 29%.
- Controller prescription rates rose from 39% to 71%, and inhaler technique assessment improved from 1% to 18%.
Conclusions:
- A multifaceted performance improvement intervention significantly improved the quality of asthma care in rural primary health care settings.
- Despite improvements, barriers to adopting evidence-based asthma care practices persist in rural areas.
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