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Improving Childhood Asthma Outcomes In The United States
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Book Synopsis Improving Childhood Asthma Outcomes in the United States by : Marielena Lara
Download or read book Improving Childhood Asthma Outcomes in the United States written by Marielena Lara and published by Rand Corporation. This book was released on 2002-05-07 with total page 114 pages. Available in PDF, EPUB and Kindle. Book excerpt: One-liner: A set of policy recommendations to promote the development and maintenance of communities in which children with asthma can be swiftly diagnosed, effectively treated, and protected from exposure to harmful environmental factors. An estimated 5 million U.S. children have asthma. Too many of these children are unnecessarily impaired. Much of the money spent on asthma is for high-cost health care services to treat acute periods of illness. Many asthma attacks could be avoided--and much suffering prevented and many medical costs saved--if more children received good-quality, ongoing asthma care and if the 11 policy recommendations presented in this report were implemented in a oordinated fashion. A national call to action, the policy recommendations span public and private interests and compel integration of public health activities across local, state, and federal levels. This report summarizes the findings of an effort funded by the Robert Wood Johnson Foundation as part of the Pediatric Asthma Initiative, whose purpose is to address current gaps in national childhood asthma care. It is the first national initiative that simultaneously addresses treatment, policy, and financing issues for children with asthma at the patient, provider, and institutional levels. The purpose of RAND's effort was to:--identify a range of policy actions in both the public and private sectors that could improve childhood asthma outcomes nationwide--select a subset of policies to create a blueprint for national policy in this area--outline alternatives to implement these policies that build on prior efforts.The effort developed a comprehensive policy framework that maps the identified strategies to one overall policy objective: to promote the development and maintenance of asthma-friendly communities--communities in which children with asthma are swiftly diagnosed, receive appropriate and ongoing treatment, and are not exposed to environmental factors that exacerbate their condition. This report is intended as a working guide for coordinating the activities of both public and private organizations at the federal, state, and local community levels.
Book Synopsis Improving Childhood Asthma Outcomes in the United States. A Blueprint for Policy Action by :
Download or read book Improving Childhood Asthma Outcomes in the United States. A Blueprint for Policy Action written by and published by . This book was released on 2001 with total page 118 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report describes the group process used to arrive at the policy recommendations proposed in Improving Childhood Asthma Outc
Book Synopsis Improving Childhood Asthma Outcomes in the United States by : Will Nicholas
Download or read book Improving Childhood Asthma Outcomes in the United States written by Will Nicholas and published by . This book was released on 2002 with total page 123 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the course of 2000, RAND Health engaged an interdisciplinary committee of nationally recognized leaders in childhood asthma in a structured group process to arrive at the policy recommendations proposed in Improving Childhood Asthma Outcomes in the United States: A Blueprint for Policy Action, by M. Lara, W. Nicholas, S. Morton, M. Vaiana, B. Genovese, and G. Rachelefsky, Santa Monica, Calif.: RAND, 2001 (RAND/MR-1330-RWJ). That report summarizes the findings of an effort funded by the Robert Wood Johnson Foundation, to 1) Identify a range of policy actions in both the public and private sectors that could improve childhood asthma outcomes nationwide; 2) Select a subset of policies to create a blueprint for national policy in this area; 3) Outline alternatives to implement these policies that build on prior efforts. This report describes the process in detail. Appendix A provides a schematic of the group process. The extensive appendices contain the essential "live" documents (lists, voting sheets, Power Point slides, Excel spreadsheets, etc.) that facilitated this process. This effort is part of the Robert Wood Johnson Foundation's Pediatric Asthma Initiative. The purpose of this initiative is to address current gaps in national childhood asthma care through clinical and nonclinical approaches to improve the management of childhood asthma. It is the first national initiative that simultaneously addresses treatment, policy, and financing issues for children with asthma at the patient, provider, and institutional levels.
Book Synopsis Improving Childhood Asthma Outcomes in the United States. A Blueprint for Policy Action by :
Download or read book Improving Childhood Asthma Outcomes in the United States. A Blueprint for Policy Action written by and published by . This book was released on 2001 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report describes the group process used to arrive at the policy recommendations proposed in Improving Childhood Asthma Outc.
Book Synopsis Asthma in Early Childhood, An Issue of Immunology and Allergy Clinics of North America by : Theresa Guilbert
Download or read book Asthma in Early Childhood, An Issue of Immunology and Allergy Clinics of North America written by Theresa Guilbert and published by Elsevier Health Sciences. This book was released on 2019-04-15 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Immunology and Allergy Clinics is devoted to Asthma in Childhood and is Guest Edited by Drs. Leonard Bacharier and Theresa Guilbert. Articles in this outstanding issue include: Inception and Natural History of Pediatric Asthma; Recent Diagnosis Techniques in Pediatric Asthma; Management / co-morbidities for Preschool-aged Children with Asthma; Management/ co-morbidities for School-aged Children with Asthma; Effects of the Environment on Disease Activity; New Advances of Self-Management/Adherence Monitoring and Management in Pediatric Asthma; Severe Asthma in Early Childhood; Inner-city Asthma in Early Childhood; Personalized Medicine and Pediatric Asthma; Prevention in Pediatric Asthma; Asthma in the Schools; and New Directions in Pediatric Asthma.
Book Synopsis The National Medical Association Consensus Panel Report on the Effective Management of Asthma in the African-American Community by : National Medical Association (U.S.)
Download or read book The National Medical Association Consensus Panel Report on the Effective Management of Asthma in the African-American Community written by National Medical Association (U.S.) and published by . This book was released on 2005 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Severe Asthma in Children and Adolescents by : Erick Forno
Download or read book Severe Asthma in Children and Adolescents written by Erick Forno and published by Springer Nature. This book was released on 2019-11-13 with total page 365 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides readers with a comprehensive review of severe asthma in children and adolescents, covering epidemiology, genetics, risk factors, co-morbidities, clinical presentation, diagnosis and treatment. Written by leaders in the field, chapter discussions draw on the mechanisms driving the disease, genetics, multidisciplinary approaches, immunomodulators, and other important aspects in the management of the disease. Severe Asthma in Children and Adolescents: Mechanisms and Management is designed to be a practical guide, opening with an introduction on the epidemiology of severe childhood asthma, as well as a discussion of special considerations of the disease unique to the preschool-aged patient. The distinctions between the diagnosis and management of asthma in young children of various ages, and specific approaches for the adolescent with severe asthma, including the transition into adult care are then addressed. Finally, the book closes with a discussion on the current state and future avenues for severe asthma research. Severe Asthma in Children and Adolescents is an indispensable reference for the healthcare professional, for basic and translational researchers, as well as for students, residents and fellows.
Book Synopsis How to Improve Childhood Asthma Outcomes by :
Download or read book How to Improve Childhood Asthma Outcomes written by and published by . This book was released on 2002 with total page 5 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Research Highlights: How to Improve Childhood Asthma Outcomes. A Blueprint for Policy Action by :
Download or read book Research Highlights: How to Improve Childhood Asthma Outcomes. A Blueprint for Policy Action written by and published by . This book was released on 2002 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Asthma is a complex disease. Although not enough is known about its cause, we do know that risk factors include genetic predisposition, environmental exposures (including tobacco smoke, furry pets, dust mites, and cockroaches), poverty and inadequate health care services. Therefore, an effective strategy for reducing the disease must address multiple fronts. This is particularly important for low-income and minority children, who suffer a greater burden from asthma. They are less likely to have the resources to deal with the disease, and certain racial and/or ethnic groups may also have a greater genetic predisposition.
Download or read book We Can Do Better written by and published by . This book was released on 2009 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "The We Can Do Better asthma project used proven quality improvement (QI) techniques in a group setting at three regional meetings (Southeast, Midwest, and Northwest) held in November and December 2008. The goal of the project was to obtain information about ways to prevent and control asthma episodes. Participants included public health and health care professionals who worked with programs to prevent and control asthma episodes. This project sought to examine why better asthma outcomes were not being obtained, or at least not apparent, by identifying (1) strategies that worked to prevent and control asthma; (2) strategies that have failed to achieve desired results; (3) contextual characteristics (e.g. social, political, and community contexts) contributing to and/or facilitating success, and (4) contextual characteristics confounding desired results and/or success."--Page 4.
Book Synopsis Impact of Asthma Self-management Education On Childhood Asthma Outcomes by : Jinman Pang
Download or read book Impact of Asthma Self-management Education On Childhood Asthma Outcomes written by Jinman Pang and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Asthma is one of the most common respiratory disorders in children. Asthma self-management education programs aim to improve asthma treatment, management, and control in the United States and help patients to develop the knowledge and skills about asthma. Previous studies have shown that asthma self-management education programs have improved quality of care for children and reduced medical care costs. However, most of these studies had small sample sizes or focused on children from one certain hospital or a selected region for analysis. To fill this gap, this study analyzes data from the 2006-2012 Behavioral Risk Factor Surveillance Survey (BRFSS) Asthma Call-back Survey (ACBS). ACBS is a nationally representative survey of children with asthma in the United States, which increases the generalizability of the findings. Multinomial logistic regression models are used to analyze the association between participation in asthma self-management education programs and health outcomes and healthcare utilization for children with asthma. The results indicate that receiving more asthma education is associated with fewer routine care visits, medical visits for asthma episodes, hospitalizations, emergency department visits, and urgent care visits, and better control of asthma symptoms. The benefits of asthma education on hospitalizations and emergency department visits did not differ by financial hardship or race/ethnicity. This study provides evidence that asthma self-management education improves health outcomes for children and reduces healthcare utilization.
Book Synopsis Difficult and Severe Asthma in Children by : Andrew Bush
Download or read book Difficult and Severe Asthma in Children written by Andrew Bush and published by Frontiers Media SA. This book was released on 2019-09-23 with total page 135 pages. Available in PDF, EPUB and Kindle. Book excerpt: Globally, severe asthma is defined by the WHO as either (A) untreated severe asthma; (B) difficult-to-treat severe asthma; and (C) treatment-resistant severe asthma. Untreated severe asthma is a political problem: the children do not have access to the basic tools for asthma management, and when this is corrected, asthma outcomes are transformed. The problem in difficult-to-treat severe asthma is not the airway disease, but co-morbidities and behavioral factors. This is the group in which there are most asthma deaths, underscoring that severe asthma cannot be solely defined by levels of prescribed therapy. Treatment-resistant severe asthma is rare and challenging, and the problem is the airway pathology. These children require new and innovative therapies.
Book Synopsis The Effectiveness of Interventions to Address Childhood Asthma by : Helen Lee
Download or read book The Effectiveness of Interventions to Address Childhood Asthma written by Helen Lee and published by . This book was released on 2016 with total page 131 pages. Available in PDF, EPUB and Kindle. Book excerpt: Asthma is the leading chronic health condition among children in the United States and a major cause of childhood disability. It also disproportionately affects low-income and racial and ethnic minorities. Although a wide range of interventions have been implemented to improve asthma-related outcomes among socioeconomically disadvantaged and minority children, disparities persist. This paper, which was commissioned by the JPB Foundation and conducted by MDRC in partnership with the National Academy for State Health Policy, standardizes and compares effects from rigorous evaluations across three main types of interventions: those that focus on improving education and self-management, those that focus on addressing remediation of the conditions that trigger asthma in the home environment, and those that focus on improving health care provider practice. While prior reviews have summarized findings for each intervention type, this review systematically compares findings across a range of outcomes and a spectrum of different approaches to addressing childhood asthma, drawing from about 30 independent studies and earlier published reviews. In addition, the paper includes case studies of various local programs and state-level policy initiatives to illuminate current efforts to address childhood asthma in low-income communities and barriers faced in sustaining asthma programs. Key findings include: (1) Providing education on how to manage asthma is fundamental to improving outcomes, but it may not be enough to alleviate disparities in asthma management; (2) Some local programs are clearly bridging informational gaps among low-income families and are helping them maintain a safe home environment for their children with asthma; (3) The health care benefits of interventions that go beyond education are unclear; (4) Barriers to medication management are complex and medication adherence is difficult to influence; and (5) The role of the state, and the Medicaid program in particular, is relevant for the financing and sustainability of asthma programs for low-income children. Although the long-run sustainability of some of the programs highlighted in this report is uncertain, what is clear is that combating the disparities in the prevalence of asthma among different populations will require more than an agreement on standard asthma management practices within the medical community. The following are appended: (1) Methodology for Literature Review; (2) Summaries of Asthma Studies; (3) Detailed Case Studies of Local Asthma Programs; and (4) Detailed State-Based Case Studies. [This working paper was written with Felicia Heider, Carrie Hanlon, and Taylor Kniffin.].
Book Synopsis Improving Asthma Outcomes in Children by : Mary C. O'Laughlen
Download or read book Improving Asthma Outcomes in Children written by Mary C. O'Laughlen and published by . This book was released on 2006 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Managing Childhood Asthma Within the Inner-city by : Leanne S Yinusa-Nyahkoon
Download or read book Managing Childhood Asthma Within the Inner-city written by Leanne S Yinusa-Nyahkoon and published by . This book was released on 2009 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: African-American children demonstrate poorer asthma outcomes than children of any other racial group, and poor asthma management has been identified as a contributing factor. Researchers suggest cultural beliefs about health and illness may influence families' approach to asthma management, and encourage health care providers to examine these beliefs during the clinical encounter. Beliefs, however, do not directly translate into asthma management behaviors. From an ecocultural perspective, asthma management is a compromise between what is desirable according to cultural beliefs and practical within a family's ecological context. Ecological barriers, or social and environmental constraints, to asthma management have been identified, yet little is known about the factors underlying these barriers or how African-American parents navigate these barriers to manage their children's asthma. Furthermore, it remains unclear what African-American parents believe health care providers can do to support parents as they manage asthma within their ecological context. According to family-centered care, parents are experts of their families and asthma management experiences. Therefore, through semi-structured interviews this dissertation examines the perspective of 19 African-American parents of children with asthma living in the inner-city. Data analysis identifies four adaptive routines parents use to manage asthma within their ecological context: (1) give young children with asthma responsibility for medication use, (2) monitor the availability of the school nurse, (3) manage air quality, and (4) frequently clean the home, as well as three roles parents believe health care providers have in supporting asthma management: (1) prescribing environmental control resources, (2) assisting parents in accessing resources for daily family life, and (3) providing ongoing education for parents and school personnel. Findings indicate that parents desire health care providers who understand their ecological context. Examining family routines is presented as a practical approach that health care providers can use to understand the daily and socio-historical context of African-Americans living in the inner city. Collaboration among families, health care providers, policy makers, researchers, and public health advocates to minimize the existing childhood asthma disparity, and improve the health of African-American children with asthma is indicated.
Book Synopsis Effect of Family Education on Clinical Outcomes in Children with Asthma by : Maha Dardouri
Download or read book Effect of Family Education on Clinical Outcomes in Children with Asthma written by Maha Dardouri and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Childhood asthma still imposes an enormous burden on children and their families. To the best of our knowledge, no study reviewed the literature on the effect of family asthma education on major asthma outcomes. This study aimed to explore the effect of family education programs on major asthma outcomes in children. Quasi-experimental studies and randomized controlled trials were conducted among children with asthma aged 6,Äì18 years and their parents were included. Pub Med, Science Direct, and Trip databases were used to extract data published in English from 2010 to 2021. Twenty-two studies were reported in this review. It was demonstrated that family empowerment interventions were effective in improving the quality of life of children and their parents, asthma symptom control, and pulmonary function. Family education that was specific to medication improved medication adherence, inhalation technique, and asthma control. Family asthma education enhanced asthma management and family functioning. This approach should be a cornerstone of pediatric asthma therapy. It helps health care professionals to build a strong connection and trustful relationship with children with asthma and their families.
Book Synopsis Towards better treatment outcomes in childhood asthma by : E. S. Koster
Download or read book Towards better treatment outcomes in childhood asthma written by E. S. Koster and published by . This book was released on 2011 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
