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- W2025706810 abstract "RATIONALE: Minority, pre-school children are a particularly high-risk group for poor asthma health outcomes. Most children living in poverty have access to a source of asthma care, yet they are less likely to receive high quality care essential for asthma control. We hypothesized that the quality of asthma communication between the child's family and the PCP is associated with the quality of asthma care provided to children. METHODS: Participants were 62 children age 2-6 years with asthma enrolled in Baltimore City Head Start programs. Caregivers indicated whether or not the PCP had discussed 11 asthma topics at the previous asthma appointment. Items were summed to make an overall communication scale (Cronbach alpha = .82). The caregiver also answered questions about indicators of quality care. RESULTS: Better PCP communication (score above the median) was associated with the child being prescribed an inhaled corticosteroid (44% vs 19%, p<.05) and having a course of oral steroids in the previous 6 months (50% vs 23%, p<.05) compared with poor communication even though the groups did not differ on current asthma symptoms frequency, or urgent healthcare utilization. Although not statistically significant, those reporting better communication were referred to an asthma specialist (17% vs 4%, ns) and skin tested (26% vs 15%, ns) more often. CONCLUSIONS: These preliminary results suggest that asthma communication with the PCP is associated with several indicators of quality of medical care for inner-city pre-school children. Efforts to improve asthma communication may result in better asthma care." @default.
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- W2025706810 date "2006-02-01" @default.
- W2025706810 modified "2023-09-25" @default.
- W2025706810 title "Primary Care Provider (PCP) Asthma Communication and Quality of Asthma Care" @default.
- W2025706810 doi "https://doi.org/10.1016/j.jaci.2005.12.223" @default.
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