Improvements in Health Care Use Associated With Community Coalitions

Long-Term Results of the Allies Against Asthma Initiative

Dados Bibliográficos

ID11023743
AutoresNoreen M Clark (Noreen M. Clark, Laurie L. Lachance, Amy Friedman Milanovich, Shelley C. Stoll, Daniel F. Awad, and Margaret Wilkin are with the Center for Managing Chronic Disease, University of Michigan, Ann Arbor. At the time of the study, M. Beth Benedict was with the Centers for Medicare & Medicaid Services, Health and Human Services, Baltimore, MD. Linda Jo Doctor is with the W. K. Kellogg Foundation, Battle Creek, MI. Lisa Gilmore was with the DC Asthma Coalition, Washington, DC. Cynthia Kelly is with the Eastern...), Laurie Lachance (W.K. Kellogg Foundation), Laurie L Lachance (Noreen M. Clark, Laurie L. Lachance, Amy Friedman Milanovich, Shelley C. Stoll, Daniel F. Awad, and Margaret Wilkin are with the Center for Managing Chronic Disease, University of Michigan, Ann Arbor. At the time of the study, M. Beth Benedict was with the Centers for Medicare & Medicaid Services, Health and Human Services, Baltimore, MD. Linda Jo Doctor is with the W. K. Kellogg Foundation, Battle Creek, MI. Lisa Gilmore was with the DC Asthma Coalition, Washington, DC. Cynthia Kelly is with the Eastern...), M Beth Benedict (Noreen M. Clark, Laurie L. Lachance, Amy Friedman Milanovich, Shelley C. Stoll, Daniel F. Awad, and Margaret Wilkin are with the Center for Managing Chronic Disease, University of Michigan, Ann Arbor. At the time of the study, M. Beth Benedict was with the Centers for Medicare & Medicaid Services, Health and Human Services, Baltimore, MD. Linda Jo Doctor is with the W. K. Kellogg Foundation, Battle Creek, MI. Lisa Gilmore was with the DC Asthma Coalition, Washington, DC. Cynthia Kelly is with the Eastern...), Linda Jo Doctor (Noreen M. Clark, Laurie L. Lachance, Amy Friedman Milanovich, Shelley C. Stoll, Daniel F. Awad, and Margaret Wilkin are with the Center for Managing Chronic Disease, University of Michigan, Ann Arbor. At the time of the study, M. Beth Benedict was with the Centers for Medicare & Medicaid Services, Health and Human Services, Baltimore, MD. Linda Jo Doctor is with the W. K. Kellogg Foundation, Battle Creek, MI. Lisa Gilmore was with the DC Asthma Coalition, Washington, DC. Cynthia Kelly is with the Eastern...), Lisa Gilmore (Noreen M. Clark, Laurie L. Lachance, Amy Friedman Milanovich, Shelley C. Stoll, Daniel F. Awad, and Margaret Wilkin are with the Center for Managing Chronic Disease, University of Michigan, Ann Arbor. At the time of the study, M. Beth Benedict was with the Centers for Medicare & Medicaid Services, Health and Human Services, Baltimore, MD. Linda Jo Doctor is with the W. K. Kellogg Foundation, Battle Creek, MI. Lisa Gilmore was with the DC Asthma Coalition, Washington, DC. Cynthia Kelly is with the Eastern...), Cynthia S Kelly (Noreen M. Clark, Laurie L. Lachance, Amy Friedman Milanovich, Shelley C. Stoll, Daniel F. Awad, and Margaret Wilkin are with the Center for Managing Chronic Disease, University of Michigan, Ann Arbor. At the time of the study, M. Beth Benedict was with the Centers for Medicare & Medicaid Services, Health and Human Services, Baltimore, MD. Linda Jo Doctor is with the W. K. Kellogg Foundation, Battle Creek, MI. Lisa Gilmore was with the DC Asthma Coalition, Washington, DC. Cynthia Kelly is with the Eastern...), James Krieger (0000-0003-4462-9428, Noreen M. Clark, Laurie L. Lachance, Amy Friedman Milanovich, Shelley C. Stoll, Daniel F. Awad, and Margaret Wilkin are with the Center for Managing Chronic Disease, University of Michigan, Ann Arbor. At the time of the study, M. Beth Benedict was with the Centers for Medicare & Medicaid Services, Health and Human Services, Baltimore, MD. Linda Jo Doctor is with the W. K. Kellogg Foundation, Battle Creek, MI. Lisa Gilmore was with the DC Asthma Coalition, Washington, DC. Cynthia Kelly is with the Eastern...), Marielena Lara (Noreen M. Clark, Laurie L. Lachance, Amy Friedman Milanovich, Shelley C. Stoll, Daniel F. Awad, and Margaret Wilkin are with the Center for Managing Chronic Disease, University of Michigan, Ann Arbor. At the time of the study, M. Beth Benedict was with the Centers for Medicare & Medicaid Services, Health and Human Services, Baltimore, MD. Linda Jo Doctor is with the W. K. Kellogg Foundation, Battle Creek, MI. Lisa Gilmore was with the DC Asthma Coalition, Washington, DC. Cynthia Kelly is with the Eastern...), John Meurer (0000-0001-7139-1289, Noreen M. Clark, Laurie L. Lachance, Amy Friedman Milanovich, Shelley C. Stoll, Daniel F. Awad, and Margaret Wilkin are with the Center for Managing Chronic Disease, University of Michigan, Ann Arbor. At the time of the study, M. Beth Benedict was with the Centers for Medicare & Medicaid Services, Health and Human Services, Baltimore, MD. Linda Jo Doctor is with the W. K. Kellogg Foundation, Battle Creek, MI. Lisa Gilmore was with the DC Asthma Coalition, Washington, DC. Cynthia Kelly is with the Eastern...), Amy Friedman Milanovich (Noreen M. Clark, Laurie L. Lachance, Amy Friedman Milanovich, Shelley C. Stoll, Daniel F. Awad, and Margaret Wilkin are with the Center for Managing Chronic Disease, University of Michigan, Ann Arbor. At the time of the study, M. Beth Benedict was with the Centers for Medicare & Medicaid Services, Health and Human Services, Baltimore, MD. Linda Jo Doctor is with the W. K. Kellogg Foundation, Battle Creek, MI. Lisa Gilmore was with the DC Asthma Coalition, Washington, DC. Cynthia Kelly is with the Eastern...), Elisa Nicholas (Noreen M. Clark, Laurie L. Lachance, Amy Friedman Milanovich, Shelley C. Stoll, Daniel F. Awad, and Margaret Wilkin are with the Center for Managing Chronic Disease, University of Michigan, Ann Arbor. At the time of the study, M. Beth Benedict was with the Centers for Medicare & Medicaid Services, Health and Human Services, Baltimore, MD. Linda Jo Doctor is with the W. K. Kellogg Foundation, Battle Creek, MI. Lisa Gilmore was with the DC Asthma Coalition, Washington, DC. Cynthia Kelly is with the Eastern...), Peter Song (0000-0001-7881-7182, W.K. Kellogg Foundation), Peter X K Song (Noreen M. Clark, Laurie L. Lachance, Amy Friedman Milanovich, Shelley C. Stoll, Daniel F. Awad, and Margaret Wilkin are with the Center for Managing Chronic Disease, University of Michigan, Ann Arbor. At the time of the study, M. Beth Benedict was with the Centers for Medicare & Medicaid Services, Health and Human Services, Baltimore, MD. Linda Jo Doctor is with the W. K. Kellogg Foundation, Battle Creek, MI. Lisa Gilmore was with the DC Asthma Coalition, Washington, DC. Cynthia Kelly is with the Eastern...), Michael Rosenthal (0000-0002-2843-2660, Noreen M. Clark, Laurie L. Lachance, Amy Friedman Milanovich, Shelley C. Stoll, Daniel F. Awad, and Margaret Wilkin are with the Center for Managing Chronic Disease, University of Michigan, Ann Arbor. At the time of the study, M. Beth Benedict was with the Centers for Medicare & Medicaid Services, Health and Human Services, Baltimore, MD. Linda Jo Doctor is with the W. K. Kellogg Foundation, Battle Creek, MI. Lisa Gilmore was with the DC Asthma Coalition, Washington, DC. Cynthia Kelly is with the Eastern...), Michael P Rosenthal (W.K. Kellogg Foundation), Shelley C Stoll (Noreen M. Clark, Laurie L. Lachance, Amy Friedman Milanovich, Shelley C. Stoll, Daniel F. Awad, and Margaret Wilkin are with the Center for Managing Chronic Disease, University of Michigan, Ann Arbor. At the time of the study, M. Beth Benedict was with the Centers for Medicare & Medicaid Services, Health and Human Services, Baltimore, MD. Linda Jo Doctor is with the W. K. Kellogg Foundation, Battle Creek, MI. Lisa Gilmore was with the DC Asthma Coalition, Washington, DC. Cynthia Kelly is with the Eastern...), Shelley Stoll (W.K. Kellogg Foundation), Daniel F Awad (Noreen M. Clark, Laurie L. Lachance, Amy Friedman Milanovich, Shelley C. Stoll, Daniel F. Awad, and Margaret Wilkin are with the Center for Managing Chronic Disease, University of Michigan, Ann Arbor. At the time of the study, M. Beth Benedict was with the Centers for Medicare & Medicaid Services, Health and Human Services, Baltimore, MD. Linda Jo Doctor is with the W. K. Kellogg Foundation, Battle Creek, MI. Lisa Gilmore was with the DC Asthma Coalition, Washington, DC. Cynthia Kelly is with the Eastern...), Daniel Awad (W.K. Kellogg Foundation), Margaret Wilkins (0000-0001-6407-009X, W.K. Kellogg Foundation), Margaret Wilkin (Noreen M. Clark, Laurie L. Lachance, Amy Friedman Milanovich, Shelley C. Stoll, Daniel F. Awad, and Margaret Wilkin are with the Center for Managing Chronic Disease, University of Michigan, Ann Arbor. At the time of the study, M. Beth Benedict was with the Centers for Medicare & Medicaid Services, Health and Human Services, Baltimore, MD. Linda Jo Doctor is with the W. K. Kellogg Foundation, Battle Creek, MI. Lisa Gilmore was with the DC Asthma Coalition, Washington, DC. Cynthia Kelly is with the Eastern...)
Ano2013
Volume103
Fascículo6
Páginas1124-1127
Data de publicação2013-06-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAmerican Journal of Public Health (JOURNAL)
Identificadores do periódicoISSN: 0090-0036 • E-ISSN: 1541-0048
EditoraAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2012.300983
PMID23597384
PMCIDPMC3698731
OpenAlexW2054899132
IdiomaEN
Citações recebidas8
Referências citadas8

Objectives. We assessed changes in asthma-related health care use by low-income children in communities across the country where 6 Allies Against Asthma coalitions (Hampton Roads, VA; Washington, DC; Milwaukee, WI; King County/Seattle, WA; Long Beach, CA; and Philadelphia, PA) mobilized stakeholders to bring about policy changes conducive to asthma control. Methods. Allies intervention zip codes were matched with comparison communities by median household income, asthma prevalence, total population size, and race/ethnicity. Five years of data provided by the Center for Medicare and Medicaid Services on hospitalizations, emergency department (ED) use, and physician urgent care visits for children were analyzed. Intervention and comparison sites were compared with a stratified recurrent event analysis using a Cox proportional hazard model. Results. In most of the assessment years, children in Allies communities were significantly less likely (P Conclusions. Mobilizing a diverse group of stakeholders, and focusing on policy and system changes generated significant reductions in health care use for asthma in vulnerable communities

Asthma · Economic growth · Emergency department · Environmental health · Ethnic group · Family medicine · Health care · Intervention (counseling) · Medicaid · Political science · Population · Public health · Asthma and respiratory diseases · Delphi Technique in Research · Demography · Health Promotion and Cardiovascular Prevention · Medicine · Nursing · Gerontology