The Asthma Outreach Project: A Promising Approach to Comprehensive Asthma Management |
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Authors: | James W. Stout Lisa C. White La Tonya Rogers Teresa McRorie Barbara Morray Marijo Miller-Ratcliffe Gregory J. Redding |
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Affiliation: | a Children's Hospital and Medical Center, Seattle, Washingtonb University of Washington, Seattle, Washingtonc Department of Public Health, Seattle-King County, Seattle, Washington |
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Abstract: | 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. |
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Keywords: | Asthma Coordinated care Outreach Community worker Health care utilization Case management |
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