title: The Asthma Outreach Project: a promising approach to comprehensive asthma management.
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.
authors.affiliation: Children's Hospital and Medical Center, University of Washington, Seattle, USA.
authors.forename: J W
authors.initials: JW
authors.lastname: Stout
authors.forename: L C
authors.initials: LC
authors.lastname: White
authors.forename: L T
authors.initials: LT
authors.lastname: Rogers
authors.forename: T
authors.initials: T
authors.lastname: McRorie
authors.forename: B
authors.initials: B
authors.lastname: Morray
authors.forename: M
authors.initials: M
authors.lastname: Miller-Ratcliffe
authors.forename: G J
authors.initials: GJ
authors.lastname: Redding
mesh_terms: D001249:Asthma / Q000453:epidemiology / Q000517:prevention & control* / Q000534:rehabilitation; D002648:Child; D002675:Child, Preschool; D003153:Community Health Services; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006792:House Calls; D006801:Humans; D008297:Male; D010044:Outpatient Clinics, Hospital / Q000706:statistics & numerical data; D010348:Patient Care Team; D010353:Patient Education as Topic; D018579:Patient Selection; D010865:Pilot Projects; D011204:Poverty Areas; D014505:Urban Population; D014600:Utilization Review