Use of asthma specialist care in high-risk inner-city black children

Sande O. Okelo, Cecilia M. Patiño, Nadia Hansel, Peyton A. Eggleston, Jean Curtin-Brosnan, Jerry A. Krishnan, Cynthia S Rand, Gregory B Diette

Research output: Contribution to journalArticle

Abstract

Innercity Black children are at high risk for asthma morbidity. Asthma specialists may improve asthma outcomes. Understanding specialist use among innercity Black children may provide insight into asthma care in this population. We hypothesized that increased asthma morbidity would be associated with increased use of and parental desire for specialist care. Participants were recruited from Baltimore City health plans. Parents of children (2-6 years of age) with asthma were surveyed about their child's asthma, including use of or desire for asthma specialist care. We compared asthma specialist care status (yes or no) and desire for specialist care to asthma morbidity and criteria for specialist referral based on national asthma guidelines. Of 135 children, 23% had severe asthma, but 9% had seen a specialist and 43% met criteria for asthma specialist referral. Forty percent of parents of children not seen by a specialist expressed a desire to see one. Compared to children of parents who did not desire a specialist, children of parents who desired a specialist were more likely to have severe asthma (38% vs. 10%; p <0.01), poor asthma control (22% vs. 7%; p = 0.02), and parent report that their child was not receiving good medical care (22% vs. 6%, p <0.01). Among this population with significant asthma morbidity, asthma specialist care is infrequent, despite parent preference for it. Eliciting parental preference for specialist care may be an efficient method to identify children appropriate for specialist care. Improvements in specialist use may improve asthma care and outcomes in innercity Black children.

Original languageEnglish (US)
Pages (from-to)255-262
Number of pages8
JournalPediatric Asthma, Allergy and Immunology
Volume20
Issue number4
DOIs
StatePublished - Dec 1 2007

Fingerprint

Asthma
Parents
Morbidity
Referral and Consultation
Baltimore
Population
Guidelines

ASJC Scopus subject areas

  • Immunology and Allergy
  • Pediatrics, Perinatology, and Child Health

Cite this

Use of asthma specialist care in high-risk inner-city black children. / Okelo, Sande O.; Patiño, Cecilia M.; Hansel, Nadia; Eggleston, Peyton A.; Curtin-Brosnan, Jean; Krishnan, Jerry A.; Rand, Cynthia S; Diette, Gregory B.

In: Pediatric Asthma, Allergy and Immunology, Vol. 20, No. 4, 01.12.2007, p. 255-262.

Research output: Contribution to journalArticle

Okelo, Sande O. ; Patiño, Cecilia M. ; Hansel, Nadia ; Eggleston, Peyton A. ; Curtin-Brosnan, Jean ; Krishnan, Jerry A. ; Rand, Cynthia S ; Diette, Gregory B. / Use of asthma specialist care in high-risk inner-city black children. In: Pediatric Asthma, Allergy and Immunology. 2007 ; Vol. 20, No. 4. pp. 255-262.
@article{1060eafdba8749019b1fa6a56fa3e167,
title = "Use of asthma specialist care in high-risk inner-city black children",
abstract = "Innercity Black children are at high risk for asthma morbidity. Asthma specialists may improve asthma outcomes. Understanding specialist use among innercity Black children may provide insight into asthma care in this population. We hypothesized that increased asthma morbidity would be associated with increased use of and parental desire for specialist care. Participants were recruited from Baltimore City health plans. Parents of children (2-6 years of age) with asthma were surveyed about their child's asthma, including use of or desire for asthma specialist care. We compared asthma specialist care status (yes or no) and desire for specialist care to asthma morbidity and criteria for specialist referral based on national asthma guidelines. Of 135 children, 23{\%} had severe asthma, but 9{\%} had seen a specialist and 43{\%} met criteria for asthma specialist referral. Forty percent of parents of children not seen by a specialist expressed a desire to see one. Compared to children of parents who did not desire a specialist, children of parents who desired a specialist were more likely to have severe asthma (38{\%} vs. 10{\%}; p <0.01), poor asthma control (22{\%} vs. 7{\%}; p = 0.02), and parent report that their child was not receiving good medical care (22{\%} vs. 6{\%}, p <0.01). Among this population with significant asthma morbidity, asthma specialist care is infrequent, despite parent preference for it. Eliciting parental preference for specialist care may be an efficient method to identify children appropriate for specialist care. Improvements in specialist use may improve asthma care and outcomes in innercity Black children.",
author = "Okelo, {Sande O.} and Pati{\~n}o, {Cecilia M.} and Nadia Hansel and Eggleston, {Peyton A.} and Jean Curtin-Brosnan and Krishnan, {Jerry A.} and Rand, {Cynthia S} and Diette, {Gregory B}",
year = "2007",
month = "12",
day = "1",
doi = "10.1089/pai.2007.003",
language = "English (US)",
volume = "20",
pages = "255--262",
journal = "Pediatric, Allergy, Immunology, and Pulmonology",
issn = "2151-321X",
publisher = "Mary Ann Liebert Inc.",
number = "4",

}

TY - JOUR

T1 - Use of asthma specialist care in high-risk inner-city black children

AU - Okelo, Sande O.

AU - Patiño, Cecilia M.

AU - Hansel, Nadia

AU - Eggleston, Peyton A.

AU - Curtin-Brosnan, Jean

AU - Krishnan, Jerry A.

AU - Rand, Cynthia S

AU - Diette, Gregory B

PY - 2007/12/1

Y1 - 2007/12/1

N2 - Innercity Black children are at high risk for asthma morbidity. Asthma specialists may improve asthma outcomes. Understanding specialist use among innercity Black children may provide insight into asthma care in this population. We hypothesized that increased asthma morbidity would be associated with increased use of and parental desire for specialist care. Participants were recruited from Baltimore City health plans. Parents of children (2-6 years of age) with asthma were surveyed about their child's asthma, including use of or desire for asthma specialist care. We compared asthma specialist care status (yes or no) and desire for specialist care to asthma morbidity and criteria for specialist referral based on national asthma guidelines. Of 135 children, 23% had severe asthma, but 9% had seen a specialist and 43% met criteria for asthma specialist referral. Forty percent of parents of children not seen by a specialist expressed a desire to see one. Compared to children of parents who did not desire a specialist, children of parents who desired a specialist were more likely to have severe asthma (38% vs. 10%; p <0.01), poor asthma control (22% vs. 7%; p = 0.02), and parent report that their child was not receiving good medical care (22% vs. 6%, p <0.01). Among this population with significant asthma morbidity, asthma specialist care is infrequent, despite parent preference for it. Eliciting parental preference for specialist care may be an efficient method to identify children appropriate for specialist care. Improvements in specialist use may improve asthma care and outcomes in innercity Black children.

AB - Innercity Black children are at high risk for asthma morbidity. Asthma specialists may improve asthma outcomes. Understanding specialist use among innercity Black children may provide insight into asthma care in this population. We hypothesized that increased asthma morbidity would be associated with increased use of and parental desire for specialist care. Participants were recruited from Baltimore City health plans. Parents of children (2-6 years of age) with asthma were surveyed about their child's asthma, including use of or desire for asthma specialist care. We compared asthma specialist care status (yes or no) and desire for specialist care to asthma morbidity and criteria for specialist referral based on national asthma guidelines. Of 135 children, 23% had severe asthma, but 9% had seen a specialist and 43% met criteria for asthma specialist referral. Forty percent of parents of children not seen by a specialist expressed a desire to see one. Compared to children of parents who did not desire a specialist, children of parents who desired a specialist were more likely to have severe asthma (38% vs. 10%; p <0.01), poor asthma control (22% vs. 7%; p = 0.02), and parent report that their child was not receiving good medical care (22% vs. 6%, p <0.01). Among this population with significant asthma morbidity, asthma specialist care is infrequent, despite parent preference for it. Eliciting parental preference for specialist care may be an efficient method to identify children appropriate for specialist care. Improvements in specialist use may improve asthma care and outcomes in innercity Black children.

UR - http://www.scopus.com/inward/record.url?scp=38649135942&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=38649135942&partnerID=8YFLogxK

U2 - 10.1089/pai.2007.003

DO - 10.1089/pai.2007.003

M3 - Article

AN - SCOPUS:38649135942

VL - 20

SP - 255

EP - 262

JO - Pediatric, Allergy, Immunology, and Pulmonology

JF - Pediatric, Allergy, Immunology, and Pulmonology

SN - 2151-321X

IS - 4

ER -