基于学校的喘治疗:改善药物坚持,喘控制和医疗保健利用率
Kimberly Arcoleo1, Colleen McGovern2, Elizabeth Allen3,4
1College of Nursing, Michigan State University, East Lansing, Mich.
The journal of allergy and clinical immunology. Global
|March 17, 2025
概括
基于学校的喘治疗显著改善了喘控制,并减少了儿童的医疗保健利用率. 该计划有效地弥合了少数民族儿童患有持续性喘的健康差异.
科学领域:
- 儿科肺病学 儿科肺病学
- 公共卫生干预措施 公共卫生干预措施
- 健康差距 研究 研究 研究 研究
背景情况:
- 儿童的持续性喘往往没有得到足够的治疗,并缺乏对控制药物的坚持.
- 基于学校的喘治疗 (SBAT) 提供了一种结构化的方法,通过查和直接药物管理来改善喘管理.
研究的目的:
- 评估基于学校的喘治疗计划 (SBAT) 对儿童喘控制和医疗保健利用的影响.
- 评估SBAT在改善患有喘的少数民族儿童的治疗结果方面的有效性.
主要方法:
- 对从2013年至2019年在SBAT注册的5-19岁儿童的医疗记录进行了回顾性审查.
- 使用喘控制测试 (ACT) 和医疗保健提供者 (HCP) 评级来测量喘控制.
- 分析了与喘相关的医疗保健利用情况,包括急诊室 (ED) 的访问,住院和儿科重症监护室 (PICU) 的入院.
主要成果:
- 控制良好的喘增加了37% (ACT) 和56% (HCP).
- 与喘相关的急救访问减少了49%,住院减少了50%,PICU入院减少了71%.
- 在黑人和拉丁裔儿童中,喘控制和医疗保健利用率的显著改善和减少被观察到.
结论:
- 该SBAT计划作为一个有效的模型,改善药物坚持和减少儿童喘相关的发病率.
- SBAT显示出在弥合不良控制喘儿童的健康差异差距方面的潜力.
- 实施SBAT可以加强喘管理,并减少儿科患者的医疗负担.
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