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Community Asthma Initiative to Improve Health Outcomes and Reduce Disparities Among Children with Asthma.
- Source :
-
MMWR supplements [MMWR Suppl] 2016 Feb 12; Vol. 65 (1), pp. 11-20. Date of Electronic Publication: 2016 Feb 12. - Publication Year :
- 2016
-
Abstract
- Black and Hispanic children are hospitalized with complications of asthma at much higher rates than white children. The Boston Children's Hospital Community Asthma Initiative (CAI) provides asthma case management and home visits for children from low-income neighborhoods in Boston, Massachusetts, to address racial/ethnic health disparities in pediatric asthma outcomes. CAI objectives were to evaluate 1) case management data by parent/guardian report for health outcomes and 2) hospital administrative data for comparison between intervention and comparison groups. Data from parent/guardian reports indicate that CAI decreased the number of children with any (one or more) asthma-related hospitalizations (decrease of 79% at 12 months) and any asthma-related emergency department visits (decrease of 56% at 12 months) among children served, most of whom were non-Hispanic black or Hispanic. Hospital administrative data also indicate that the number of asthma-related hospitalizations per child significantly decreased among CAI participants compared with a comparison group. The CAI model has been replicated in other cities and states with adaptations to local cultural and systems variations. Health outcome and cost data have been used to contribute to a business case to educate legislators and insurers about outcomes and costs for this enhanced approach to care. Strong partnerships with public health, community, and housing agencies have allowed CAI to leverage its outcomes to expand systemic changes locally and statewide to reduce asthma morbidity.
- Subjects :
- Adolescent
Centers for Disease Control and Prevention, U.S.
Child
Child, Preschool
Hospitalization statistics & numerical data
Humans
Massachusetts epidemiology
Program Evaluation
Treatment Outcome
United States epidemiology
Black or African American statistics & numerical data
Asthma ethnology
Asthma prevention & control
Health Promotion
Health Status Disparities
Hispanic or Latino statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 2380-8942
- Volume :
- 65
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- MMWR supplements
- Publication Type :
- Academic Journal
- Accession number :
- 26916259
- Full Text :
- https://doi.org/10.15585/mmwr.su6501a4