Comprehensive asthma care keeps kids out of the hospital

May 1, 2010

A comprehensive, patient-centered approach to asthma care that includes education, referrals to specialists and home visits not only improves patients' health but also has tremendous potential to decrease health care costs, according to research to be presented Saturday, May 1 at the Pediatric Academic Societies (PAS) annual meeting in Vancouver, British Columbia, Canada.

Asthma is the leading cause of admissions at Children's Hospital Boston, particularly among from low socio-economic backgrounds. To improve asthma care in this high-risk group, researchers developed an "asthma medical home" within their primary care clinic. They identified 1,900 asthmatic patients and initiated education sessions that included a review of asthma basics, appropriate medication use, how to recognize and manage an , and common environmental asthma triggers.

Families also received assistance obtaining medications; referrals to allergy and pulmonary specialists; and support in reducing environmental triggers, which included access to dust mite covers and home visits for assessments and remediation of identified triggers (e.g., pests, mold).

Emergency department (ED) visits and inpatient hospitalization rates in the year before the program was in place were compared with those two years after program initiation.

Results showed that ED visits for asthma-related reasons decreased 63 percent (from 26 percent in 2006 to 9.9 percent in 2009), while inpatient hospitalization rates decreased 62 percent (from 10.5 to 4 percent).

"With increased access to their primary care providers, increased knowledge about their child's disease process and greater control over environmental triggers, families are better empowered to manage their children's asthma symptoms," said Faye F. Holder-Niles, MD, MPH, lead author of the study. "This comprehensive approach to can have tremendous impact on the lives of asthmatic patients."

Explore further: Treatment of asthma: Stepping up treatment and also stepping it down

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ChristineWithRegence
not rated yet May 02, 2010
This shows that when we take control of our health care decisions, we can help control costs. Check out Whatstherealcost.org for more ideas!

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