We describe a pilot system of coordinated asthma care emphasizing home visits by a community-based lay worker collaborating with a pediatrician, pharmacist, and public health nurse.
Study participants included 23 low-income children with moderate to severe asthma and their families at an inner-city pediatric clinic.
This system was successfully implemented, and client satisfaction was extremely high.
Utilization review showed a reduction in hospitalizations, emergency department visits, and unscheduled clinic visits, and an increase in follow-up clinic visits.
This model of care may reduce unscheduled service use and deserves further study as an alternative for asthma management among similar patient populations.
Mots-clés Pascal : Asthme, Système, Coordination, Soin, Médecin, Pédiatrie, Infirmier, Pharmacien, Coopération, Résultat, Homme, Appareil respiratoire pathologie, Bronchopneumopathie obstructive, Traitement
Mots-clés Pascal anglais : Asthma, System, Coordination, Care, Physician, Pediatrics, Nurse, Chemist, Cooperation, Result, Human, Respiratory disease, Obstructive pulmonary disease, Treatment
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0165741
Code Inist : 002B11B. Création : 21/07/1998.