Pediatric Asthma Care Coordination in Underserved Communities

A Quasiexperimental Study

Bibliographic Data

ID11035659
AuthorsMary R Janevic (0000-0001-5782-4893, At the time of the study, Mary R. Janevic, Shelley Stoll, and Margaret Wilkin were with the Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor. Peter X. K. Song and Wen Wang are with the Department of Epidemiology, University of Michigan School of Public Health. Alan Baptist is with the Division of Allergy and Clinical Immunology, University of Michigan Medical School, Ann Arbor. Marielena Lara was with the Children’s Hospital of Los Angeles,...), Shelley Stoll (At the time of the study, Mary R. Janevic, Shelley Stoll, and Margaret Wilkin were with the Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor. Peter X. K. Song and Wen Wang are with the Department of Epidemiology, University of Michigan School of Public Health. Alan Baptist is with the Division of Allergy and Clinical Immunology, University of Michigan Medical School, Ann Arbor. Marielena Lara was with the Children’s Hospital of Los Angeles,...), Margaret Wilkins (0000-0001-6407-009X, University of Michigan), Margaret Wilkin (At the time of the study, Mary R. Janevic, Shelley Stoll, and Margaret Wilkin were with the Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor. Peter X. K. Song and Wen Wang are with the Department of Epidemiology, University of Michigan School of Public Health. Alan Baptist is with the Division of Allergy and Clinical Immunology, University of Michigan Medical School, Ann Arbor. Marielena Lara was with the Children’s Hospital of Los Angeles,...), Peter Song (0000-0001-7881-7182, University of Michigan), Peter X K Song (At the time of the study, Mary R. Janevic, Shelley Stoll, and Margaret Wilkin were with the Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor. Peter X. K. Song and Wen Wang are with the Department of Epidemiology, University of Michigan School of Public Health. Alan Baptist is with the Division of Allergy and Clinical Immunology, University of Michigan Medical School, Ann Arbor. Marielena Lara was with the Children’s Hospital of Los Angeles,...), Alan P Baptist (0000-0001-8284-0027, University of Michigan), Alan Baptist (At the time of the study, Mary R. Janevic, Shelley Stoll, and Margaret Wilkin were with the Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor. Peter X. K. Song and Wen Wang are with the Department of Epidemiology, University of Michigan School of Public Health. Alan Baptist is with the Division of Allergy and Clinical Immunology, University of Michigan Medical School, Ann Arbor. Marielena Lara was with the Children’s Hospital of Los Angeles,...), Marielena Lara (At the time of the study, Mary R. Janevic, Shelley Stoll, and Margaret Wilkin were with the Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor. Peter X. K. Song and Wen Wang are with the Department of Epidemiology, University of Michigan School of Public Health. Alan Baptist is with the Division of Allergy and Clinical Immunology, University of Michigan Medical School, Ann Arbor. Marielena Lara was with the Children’s Hospital of Los Angeles,...), Gilberto Ramos-Valencia (At the time of the study, Mary R. Janevic, Shelley Stoll, and Margaret Wilkin were with the Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor. Peter X. K. Song and Wen Wang are with the Department of Epidemiology, University of Michigan School of Public Health. Alan Baptist is with the Division of Allergy and Clinical Immunology, University of Michigan Medical School, Ann Arbor. Marielena Lara was with the Children’s Hospital of Los Angeles,...), Tyra Bryant-Stephens (0000-0001-5683-3616, At the time of the study, Mary R. Janevic, Shelley Stoll, and Margaret Wilkin were with the Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor. Peter X. K. Song and Wen Wang are with the Department of Epidemiology, University of Michigan School of Public Health. Alan Baptist is with the Division of Allergy and Clinical Immunology, University of Michigan Medical School, Ann Arbor. Marielena Lara was with the Children’s Hospital of Los Angeles,...), Victoria Persky (0000-0003-2685-5931, At the time of the study, Mary R. Janevic, Shelley Stoll, and Margaret Wilkin were with the Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor. Peter X. K. Song and Wen Wang are with the Department of Epidemiology, University of Michigan School of Public Health. Alan Baptist is with the Division of Allergy and Clinical Immunology, University of Michigan Medical School, Ann Arbor. Marielena Lara was with the Children’s Hospital of Los Angeles,...), Kimberly Uyeda (At the time of the study, Mary R. Janevic, Shelley Stoll, and Margaret Wilkin were with the Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor. Peter X. K. Song and Wen Wang are with the Department of Epidemiology, University of Michigan School of Public Health. Alan Baptist is with the Division of Allergy and Clinical Immunology, University of Michigan Medical School, Ann Arbor. Marielena Lara was with the Children’s Hospital of Los Angeles,...), Julie Kennedy Lesch (At the time of the study, Mary R. Janevic, Shelley Stoll, and Margaret Wilkin were with the Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor. Peter X. K. Song and Wen Wang are with the Department of Epidemiology, University of Michigan School of Public Health. Alan Baptist is with the Division of Allergy and Clinical Immunology, University of Michigan Medical School, Ann Arbor. Marielena Lara was with the Children’s Hospital of Los Angeles,...), Wen Wang (0000-0002-4944-859X, At the time of the study, Mary R. Janevic, Shelley Stoll, and Margaret Wilkin were with the Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor. Peter X. K. Song and Wen Wang are with the Department of Epidemiology, University of Michigan School of Public Health. Alan Baptist is with the Division of Allergy and Clinical Immunology, University of Michigan Medical School, Ann Arbor. Marielena Lara was with the Children’s Hospital of Los Angeles,...), Floyd J Malveaux (At the time of the study, Mary R. Janevic, Shelley Stoll, and Margaret Wilkin were with the Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor. Peter X. K. Song and Wen Wang are with the Department of Epidemiology, University of Michigan School of Public Health. Alan Baptist is with the Division of Allergy and Clinical Immunology, University of Michigan Medical School, Ann Arbor. Marielena Lara was with the Children’s Hospital of Los Angeles,...)
Year2016
Volume106
Issue11
Pages2012-2018
Publication date2016-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2016.303373
PMID27631740
OpenAlexW2519824646
LanguageEN
Citations received5
References cited26

Objectives. To assess the effect of care coordination on asthma outcomes among children in underserved urban communities. Methods. We enrolled children, most of whom had very poorly or not well-controlled asthma, in medical–social care coordination programs in Los Angeles, California; Chicago, Illinois; Philadelphia, Pennsylvania; and San Juan, Puerto Rico in 2011 to 2014. Participants (n = 805; mean age = 7 years) were 60% male, 50% African American, and 42% Latino. We assessed asthma symptoms and health care utilization via parent interview at baseline and 12 months. To prevent overestimation of intervention effects, we constructed a comparison group using bootstrap resampling of matched control cases from previous pediatric asthma trials. Results. At follow-up, intervention participants had 2.2 fewer symptom days per month (SD = 0.3; P Conclusions. Care coordination may improve pediatric asthma symptom control and reduce emergency department visits. Policy Implications. Expanding third-party reimbursement for care coordination services may help reduce pediatric asthma disparities

Asthma · Confidence interval · Emergency department · Family medicine · Intervention (counseling) · Psychiatry · Asthma and respiratory diseases · Chronic Disease Management Strategies · Demography · Healthcare Systems and Technology · Internal Medicine · Medicine · Pediatrics

Tools

Open DOISci-HubOpen Access