Community Asthma Initiative to Improve Health Outcomes and Reduce Disparities Among Children with Asthma

Woods, Elizabeth R.; Bhaumik, Urmi; Sommer, Susan J.; Chan, Elaine; Tsopelas, Lindsay; Fleegler, Eric W.; Lorenzi, Margarita; Klements, Elizabeth M.; Dickerson, Deborah; Nethersole, Shari; Dulin, Rick

doi:10.15585/mmwr.su6501a4

Cited by 55 publications

(44 citation statements)

References 22 publications

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“…16 Targeted approaches focused on meeting the needs of diverse populations and on addressing the SDH have been proven to be effective. 17,18 For example, racial and ethnic disparities in childhood vaccine rates were significant in the 1980s, but dual strategies to reach both the general population and additional approaches focused on reaching minority and underserved children were effective in eliminating the disparity by the mid-1990s. 19 …”

Section: | Backgroundmentioning

confidence: 99%

Developing a framework for integrating health equity into the learning health system

Brooks

Douglas

Aggarwal

et al. 2017

Learning Health Systems

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While there have been gains in the overall quality of health care, racial and ethnic disparities in health outcomes continue to persist in the United States. The Learning Health System (LHS) has the potential to significantly improve health care quality using patient-centered design, data analytics, and continuous improvement. To ensure that health disparities are also being addressed, targeted approaches must be used. This document sets forth a practical framework to incorporate health equity into a developing LHS. Using a case study approach, the framework is applied to 2 projects focused on the reduction of health disparities to highlight its application.

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Section: | Backgroundmentioning

confidence: 99%

Developing a framework for integrating health equity into the learning health system

Brooks

Douglas

Aggarwal

et al. 2017

Learning Health Systems

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show abstract

“…Most programs (12/17) operated in urban settings 33–36, 42–44, 46–49, 60, 62, 65–67, 70, 71, 73–75, 80, 81, 83, 84 , and information was not available for the remaining 5 programs. 37–41, 54, 59, 76–79, 85 Program descriptions indicated health insurance plans operated or served as partners in over one-third (6/17) of programs.…”

Section: Asthma-related Home Visit Programsmentioning

confidence: 99%

Economic Evidence for US Asthma Self-Management Education and Home-Based Interventions

Hsu

Wilhelm

Lewis

et al. 2016

The Journal of Allergy and Clinical Immunology: In Practice

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The health and economic burden of asthma in the United States is substantial. Asthma self-management education (AS-ME) and home-based interventions for asthma can improve asthma control and prevent asthma exacerbations, and interest in health care-public health collaboration regarding asthma is increasing. However, outpatient AS-ME and home-based asthma intervention programs are not widely available; economic sustainability is a common concern. Thus, we conducted a narrative review of existing literature regarding economic outcomes of outpatient AS-ME and home-based intervention programs for asthma in the United States. We identified 9 outpatient AS-ME programs and 17 home-based intervention programs with return on investment (ROI) data. Most programs were associated with a positive ROI; a few programs observed positive ROIs only among selected populations (e.g., higher health care utilization). Interpretation of existing data is limited by heterogeneous ROI calculations. Nevertheless, the literature suggests promise for sustainable opportunities to expand access to outpatient AS-ME and home-based asthma intervention programs in the United States. More definitive knowledge about how to maximize program benefit and sustainability could be gained through more controlled studies of specific populations and increased uniformity in economic assessments.

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“…These actions address numerous health concerns disproportionately affecting particular populations, such as hepatitis A disease (10), HIV infection (11,12), colorectal cancer screening (13), youth violence (14), and pediatric asthma (15). This supplement also includes reports related to health self-management among persons with disabilities (16) and American Indian/Alaska Native communities rebuilding the traditional food system using traditional ecological knowledge about health (17).…”

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confidence: 99%

“…For example, two articles describe interventions that depend on community health workers (CHWs) and lay health advisors (LHAs) (12,15).…”

mentioning

confidence: 99%

“…Which efforts are necessary to identify and provide requisite training and professional development? How can CHWs and LHAs be meaningfully involved in the design and implementation of culturally appropriate interventions, including culturally appropriate evaluation strategies (12,15)? Overall, how can CHWs and LHAs contribute to programs that advance health equity?…”

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confidence: 99%

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Epilogue

Liburd¹,

Bouye²,

Penman-Aguilar³

2016

MMWR Suppl.

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Community Asthma Initiative to Improve Health Outcomes and Reduce Disparities Among Children with Asthma

Abstract: Summary Black and Hispanic children are hospitalized with complications of asthma at much higher rates than white children. The Boston

Cited by 55 publications

References 22 publications

Developing a framework for integrating health equity into the learning health system

Developing a framework for integrating health equity into the learning health system

Economic Evidence for US Asthma Self-Management Education and Home-Based Interventions

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