Quantifying preventive asthma care delivered at office visits: the Preventive Asthma Care-Composite Index (PAC-CI).
Our objective was to develop a composite index to measure and quantify preventive asthma care delivered in the primary care office. We documented preventive actions used for children with asthma at the time of an office visit and weighted actions based on their intensity to create a composite index. The usefulness of the index was supported by significant correlations with several measures of symptom severity. The composite index also varied by visit type, with the highest scores noted for asthma-related visits, compared to well-child and other illness visits. This composite index has potential use for research and quality improvement efforts.
Halterman
Jill S
JS
Department of Pediatrics, University of Rochester School of Medicine and Dentistry, and the Strong Children's Research Center, Rochester, NY 14642, USA. jill_halterman@urmc.rochester.edu
Kitzman
Harriet
H
McMullen
Ann
A
Lynch
Kathleen
K
Fagnano
Maria
M
Conn
Kelly M
KM
Yoos
H Lorrie
HL
D000280:Administration, Inhalation; D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D018927:Anti-Asthmatic Agents / Q000627:therapeutic use; D001249:Asthma / Q000517:prevention & control*; D002648:Child; D002675:Child, Preschool; D003695:Delivery of Health Care / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006306:Health Surveys; D006801:Humans; D008297:Male; D009518:New York; D011320:Primary Health Care / Q000706:statistics & numerical data*; D011785:Quality Assurance, Health Care / Q000706:statistics & numerical data; D012017:Referral and Consultation / Q000706:statistics & numerical data; D055502:Secondary Prevention; D013223:Statistics as Topic
D000305:Adrenal Cortex Hormones; D018927:Anti-Asthmatic Agents