Impoverished children with asthma: a pilot study of urban healthcare access.
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.
Wallace
Andrea
A
University of Colorado Health Sciences Center School of Nursing, Denver, USA. andrea.wallace@uchsc.edu
Scott
Jill
J
Klinnert
Mary
M
Anderson
Mark E
ME
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*