title: Impoverished children with asthma: a pilot study of urban healthcare access.
abstract: OBJECTIVE
  Using Andersen's Behavioral Model of Health Care Use, this pilot study was conducted to better understand the experiences of children with asthma as they access an urban healthcare system.
  
  
  METHODS
  This descriptive study used a convenience sample of 34 families of pediatric asthma patients who participated in semistructured interviews and closed medical record review.
  
  
  RESULTS
  Only one patient reported having a written exacerbation management plan. Beliefs regarding medication addiction and side effects were frequently reported as barriers to medication adherence, and children seeking asthma care in primary care settings saw many care providers.
  
  
  CONCLUSIONS
  Exploring how expanded nursing roles can help address both family and system factors serving as barriers to health care ought to be a key priority for nursing.
authors.affiliation: University of Colorado Health Sciences Center School of Nursing, Denver, USA. andrea.wallace@uchsc.edu
authors.forename: Andrea
authors.initials: A
authors.lastname: Wallace
authors.forename: Jill
authors.initials: J
authors.lastname: Scott
authors.forename: Mary
authors.initials: M
authors.lastname: Klinnert
authors.forename: Mark E
authors.initials: ME
authors.lastname: Anderson
mesh_terms: D000293:Adolescent; D001249:Asthma / Q000628:therapy*; D002648:Child; D002662:Child Health Services / Q000706:statistics & numerical data*; D002675:Child, Preschool; D003266:Continuity of Patient Care / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007407:Interviews as Topic; D008297:Male; D008962:Models, Theoretical; D010865:Pilot Projects; D011203:Poverty / Q000706:statistics & numerical data*; D014481:United States; D019037:Urban Health Services / Q000706:statistics & numerical data*