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Childhood Asthma Disparities in Chicago: Developing Approaches to Health Inequities
Molly A Martin1, Melissa Gutierrez Kapheim, Kim Erwin
1Department of Pediatrics (Dr Martin), College of Engineering (Dr Darabi), and University of Illinois Hospital & Health Sciences System Population Health Sciences Program (Dr Krishnan), University of Illinois at Chicago; Sinai Health System, Sinai Urban Health Institute, Chicago, Illinois (Ms Kapheim); Institute of Design, Illinois Institute of Technology, Chicago (Ms Erwin); Chicago Asthma Consortium, Chicago, Illinois (Ms Ignoffo); Respiratory Health Association, Chicago, Illinois (Mss McMahon, and O'Rourke); Department of Health Promotion Sciences, College of Public Health, University of Arizona, Tucson (Dr Gerald); Propeller Health, San Francisco, California (Dr Barrett); and Department of Medicine, University of Chicago, Illinois (Dr Press).
Abstract:
We conducted a needs assessment to develop an evidence-based, locally tailored asthma care implementation plan for high-risk children with asthma in Chicago. Our team of health policy experts, clinicians, researchers, and designers included extensive stakeholder engagement (N = 162) in a mixed-methods community needs assessment. Results showed the lines of communication and collaboration across sectors were weak; caregivers were the only consistent force and could not always manage this burden. A series of recommendations for interventions and how to implement and measure them were generated. Cooperative, multidisciplinary efforts grounded in the community can target wicked problems such as asthma.
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