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Pediatric asthma care coordination in underserved communities: A quasiexperimental study

Author

Listed:
  • Janevic, M.R.
  • Stoll, S.
  • Wilkin, M.
  • Song, P.X.K.
  • Baptist, A.
  • Lara, M.
  • Ramos-Valencia, G.
  • Bryant-Stephens, T.
  • Persky, V.
  • Uyeda, K.
  • Lesch, J.K.
  • Wang, W.
  • Malveaux, F.J.

Abstract

Objectives. To assess the effect of care coordination on asthma outcomes among children in underserved urban communities. Methods. We enrolled children, most of whom had very poorly or not well-controlled asthma, in medical-social care coordination programs in Los Angeles, California; Chicago, Illinois; Philadelphia, Pennsylvania; and San Juan, Puerto Rico in 2011 to 2014. Participants (n = 805; mean age = 7 years) were 60% male, 50% African American, and 42% Latino.We assessed asthma symptoms and health care utilization via parent interview at baseline and 12 months. To prevent overestimation of intervention effects, we constructed a comparison group using bootstrap resampling of matched control cases from previous pediatric asthma trials. Results. At follow-up, intervention participants had 2.2 fewer symptom days per month (SD = 0.3; P

Suggested Citation

  • Janevic, M.R. & Stoll, S. & Wilkin, M. & Song, P.X.K. & Baptist, A. & Lara, M. & Ramos-Valencia, G. & Bryant-Stephens, T. & Persky, V. & Uyeda, K. & Lesch, J.K. & Wang, W. & Malveaux, F.J., 2016. "Pediatric asthma care coordination in underserved communities: A quasiexperimental study," American Journal of Public Health, American Public Health Association, vol. 106(11), pages 2012-2018.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2016.303373_7
    DOI: 10.2105/AJPH.2016.303373
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