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Coordinated Asthma Program Improves Asthma Outcomes in High-Risk Children
Faye Holder-Niles1,2, Linda Haynes1, Helen D'Couto1,2
11 Boston Children's Hospital, Boston, MA, USA.
Insights
Coordinated team-based asthma care significantly reduced urgent care visits, emergency department visits, and hospitalizations in high-risk children. This approach improves asthma management and healthcare utilization for pediatric patients.
Area of Science:
- Pediatric Pulmonology
- Primary Care Innovation
- Healthcare Management
Background:
- Fragmented care and poor continuity impact pediatric asthma outcomes.
- Innovative primary care models are essential for effective asthma management.
- High-risk children with asthma often experience significant healthcare utilization.
Purpose of the Study:
- To evaluate the effect of a coordinated, team-based asthma care program.
- To assess the impact on unplanned asthma-related healthcare utilization.
- To determine the program's effectiveness in high-risk pediatric populations.
Main Methods:
- A multidisciplinary asthma team provided coordinated care to 141 high-risk children.
- Intervention included diagnostic assessment, family needs assessment, asthma education, and community referrals.
- Patients were followed for 2 years, comparing pre- and post-intervention healthcare utilization.
Main Results:
- Significant reductions observed at 1 and 2 years post-intervention.
- Urgent care visits decreased by 40% (P = .002) and 50% (P < .0001).
- Emergency department visits decreased by 63% (P < .0001) and 70% (P < .0001).
- Inpatient hospitalizations decreased by 69% (P = .002) and 54% (P = .04).
Conclusions:
- Coordinated team-based asthma care effectively reduces healthcare utilization in high-risk children.
- The program improved asthma outcomes by decreasing unplanned visits and hospitalizations.
- This model demonstrates a successful strategy for enhancing pediatric asthma care within primary care settings.
Abstract:
Innovative approaches within primary care are needed to reduce fragmented care, increase continuity of care, and improve asthma outcomes in children with asthma. Our objective was to assess the impact of coordinated team-based asthma care on unplanned asthma-related health care utilization. A multidisciplinary asthma team was developed to provide coordinated care to high-risk asthma patients. Patients received an in-depth diagnostic and family needs assessment, asthma education, and coordinated referral to social and community services. Over a 2-year period, 141 patients were followed. At both 1 and 2 years postintervention, there was a significant decrease from preintervention rates in urgent care visits (40%, P = .002; 50%, P < .0001), emergency department visits (63%, P < .0001; 70%, P < .0001), and inpatient hospitalization (69%, P = .002; 54%, P = .04). Our coordinated asthma care program was associated with a reduction in urgent care visits, emergency department visits, and inpatient hospitalizations among high-risk children with asthma.
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