Pediatric Asthma Care Coordination in Underserved Communities: A Quasiexperimental Study

Abstract

Expanding third-party reimbursement for care coordination services may help reduce pediatric asthma disparities.

Asthma care coordination in schools by school nurses: An integrative literature review

“…Identifying triggers and symptoms and determining social determinants can help in recognizing risk factors (Janevic et al, ; Liptzin et al, ). Recognizing the students and their parents’ therapeutic, social, educational, and economic needs is important to run effective asthma care coordination (Cicutto et al, ; Garwick et al, ).…”

“…The data analysis indicated that asthma is prevalent more often among low socioeconomic populations, and that social disparities can affect the chances of students receiving health care and should be addressed when planning or implementing coordinated care strategies. (Barnard‐Brak et al, ) The absence of asthma‐related supplies, lack of health coverage, and unhealthy environmental condition may depend on families’ socioeconomic condition (Garwick et al, ; Janevic et al, ; Liberatos et al, ; Liptzin et al, ). Thus, care coordination is not only essential for students with chronic health conditions, but particularly so for those who have a low‐socioeconomic class and/or limited access to health care.…”

“…The identified components are student‐ and parent‐centered asthma care coordination, clear communications with and among students and parents, recognition of the risk factors for asthma episodes, communication and collaboration with other professionals, and tailored asthma education for students and their parents. Finding from this integrative literature review indicated that asthma care coordination at schools has challenges, such as poor communication with parents, inadequate knowledge of asthma, socioeconomic and health access barriers; lack of support for asthma care coordination at school settings, nursing shortage, and insufficient professional development services for nurses (Aruda et al, ; Baker et al, ; Cicutto et al, ; Engelke et al, ; Garnett, Smith, & Ormandy, ; Garwick et al, ; Hanson et al, ; Hoekstra, Young, Eley, Hawking, & McNulty, ; Janevic et al, ; Knauer et al, ; Liberatos et al, ; Liptzin et al, ; Moricca et al, ). However, school nurses can implement effective asthma care coordination by including these essential components in their care coordination, which may prevent/minimize the identified challenges.…”

The “Retrofitting” Approach to Adapting Evidence-Based Interventions: A Case Study of Pediatric Asthma Care Coordination, United States, 2010–2014

“…Nor were we able to associate retrofitting with asthma-related outcomes among participants. Notably, each program site reported improvements in asthma-related outcomes among program participants, offering tentative evidence that the retrofits contributed to, or at least did not hinder, the success of the programs ( 23 ).…”

Community-based survey as a basis for evidence-based public health: children living in Upper Silesian Industrial Zone

“…There are some examples which indicate that mobilizing diverse stakeholders and focusing on policy can generate significant reductions in health care use for vulnerable children with asthma (28). Interventions designed to improve health care services and coordination of care, school-based interventions, as well as the decrease of environmental risk factors exposure can greatly decrease asthma morbidity (29,30). The Allies Against Asthma coalitions at the local level generate important community benefits, the work of Allies Against Asthma contributes significantly to the small but growing body of evidence indicating that targeting policy through collaborative community-wide work can bring about needed change (31).…”