2001
DOI: 10.1067/mpd.2001.109600
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Consistency of care with national guidelines for children with asthma in managed care

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Cited by 109 publications
(68 citation statements)
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“…Even after 2 weeks, less than half of the study subjects had either completed or made an appointment with their regular asthma care provider. These disappointing follow-up results again are similar to those reported previously [18][19][20][21][22] and occurred despite considerable efforts on behalf of the ED staff to facilitate such follow-up visits; these efforts included informing the accompanying adult to make a follow-up appointment, faxing a copy of the dictated medical chart to the regular asthma care provider, and identifying a medical provider and making an immediate referral for the minority of patients who did not have a PCP.…”
Section: Discussionsupporting
confidence: 59%
See 1 more Smart Citation
“…Even after 2 weeks, less than half of the study subjects had either completed or made an appointment with their regular asthma care provider. These disappointing follow-up results again are similar to those reported previously [18][19][20][21][22] and occurred despite considerable efforts on behalf of the ED staff to facilitate such follow-up visits; these efforts included informing the accompanying adult to make a follow-up appointment, faxing a copy of the dictated medical chart to the regular asthma care provider, and identifying a medical provider and making an immediate referral for the minority of patients who did not have a PCP.…”
Section: Discussionsupporting
confidence: 59%
“…9,10,15,16,18 For example, many children who use the ED seem to be undermedicated in terms of using an inhaled corticosteroid (ICS) or other long-term control medication, 8,10,11,16,17 and follow-up visits with a primary care provider (PCP) usually occur much later than the time frame recommended in the NAEPP guidelines. [19][20][21][22] Here we describe the characteristics of children treated for an acute asthma exacerbation in 3 EDs in western Michigan (selected to represent urban, suburban, and rural settings) and report on several quality indicators of care and management based on NAEPP guidelines. …”
mentioning
confidence: 99%
“…9-11 For children with chronic conditions, such as asthma or diabetes, continuous coverage is critical to ensure compliance with care regimens. 12,13 Despite recent efforts to expand and simplify insurance enrollment procedures, ~8.2 million children, or 12% of all children, were without health insurance coverage at some point in 2003. 14 For children in low-income families, the separation of eligibility and enrollment in Medicaid from public cash assistance (known as Temporary Assistance to Needy Families [TANF]) in 1996 was followed by declines in Medicaid enrollment likely as a result of confusion about eligibility and enrollment.…”
mentioning
confidence: 99%
“…15,16 Studies conducted in the Bronx, New York, and Baltimore, Maryland, have each estimated that approximately 55% of children with moderate-to-severe persistent symptoms are not using daily anti-inflammatory medications. 15,17 A study of asthmatic children receiving Medicaid insurance in Connecticut identified a similar percentage. 18 Although these studies did not distinguish between issues related to physician practice pattern and family medication adherence, other authors have documented several barriers to physician adherence to the practice guidelines.…”
Section: Discussionmentioning
confidence: 89%