Audit of process and outcome in a mini-clinic for children with asthma

T P Usherwood1, J H Barber

  • 1Department of General Practice, University of Glasgow, Scotland.

Family Practice
|December 1, 1988
PubMed

Insights

A pediatric asthma mini-clinic showed minimal outcome improvement despite increased respiratory consultations. Further research is needed to optimize asthma management strategies for children.

Area of Science:

  • Pediatric respiratory medicine
  • General practice management

Background:

  • Asthma is a common chronic respiratory disease in children.
  • Effective management strategies are crucial for pediatric asthma patients.
  • General practices play a key role in managing childhood asthma.

Purpose of the Study:

  • To evaluate the effectiveness of a dedicated asthma mini-clinic in a general practice setting.
  • To compare outcomes and healthcare utilization in children with asthma managed at the mini-clinic versus standard care.

Main Methods:

  • A mini-clinic was established for pediatric asthma management.
  • 31 children (aged 5-14 years) attended the mini-clinic.
  • A control group of 31 age- and sex-matched asthmatic children from a neighboring practice was recruited for comparison.

Main Results:

  • Children attending the mini-clinic showed only slight improvement in outcomes.
  • Mini-clinic attendees required significantly more respiratory consultations compared to the control group.
  • The study observed differences in healthcare resource utilization.

Conclusions:

  • The implemented asthma mini-clinic demonstrated limited clinical benefit in this cohort.
  • Increased consultation rates suggest potential inefficiencies or different care patterns.
  • Further investigation into the methodology and optimal design of pediatric asthma management programs is warranted.

Related Concept Videos

Assessment of Respiration01:23

Assessment of Respiration

The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like asthma or COPD,...
Respiratory Assessment: Purpose and Indications01:19

Respiratory Assessment: Purpose and Indications

Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Physical Assessment of the Respiratory Tract I: Health History01:28

Physical Assessment of the Respiratory Tract I: Health History

Physical assessment of the respiratory tract is critical to patient care. It allows healthcare professionals to identify and manage various respiratory conditions. The process involves a combination of subjective and objective data collection.
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and key...
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies01:27

Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies

Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Asthma-IV: Diagnostic and Management01:30

Asthma-IV: Diagnostic and Management

The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Asthma-IV: Nursing Management01:30

Asthma-IV: Nursing Management

The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...