title: Childhood asthma: considerations for primary care practice and chronic disease management in the village of care.
abstract: Childhood asthma is at historically high levels, with significant morbidity and mortality. Despite more than two decades of improved understanding of childhood asthma care and the evolution of beneficial medications, widespread control remains poor, leading to suboptimal patient outcomes and quality of life. This lack of control results in excessive emergency department use, hospitalizations, and inappropriate and/or unnecessary costs to the health care system. Advanced practice models that incorporate community-based approaches and services for childhood asthma are needed. Innovative, community-included methods of care to address the burden of childhood asthma may provide examples for care of other chronic diseases.
authors.affiliation: Department of Family and Community Medicine, Christiana Care Health System, 1400 North Washington Street, Suite 420, Wilmington, DE 19801, USA. mrosenthal@christianacare.org
authors.forename: Michael P
authors.initials: MP
authors.lastname: Rosenthal
mesh_terms: D000367:Age Factors; D001249:Asthma / Q000628:therapy*; D002648:Child; D002669:Child Welfare; D002908:Chronic Disease; D003153:Community Health Services; D019058:Community Networks; D003266:Continuity of Patient Care; D003299:Cooperative Behavior; D019468:Disease Management; D006801:Humans; D018802:Patient-Centered Care / Q000379:methods*; D010372:Pediatrics / Q000379:methods*; D058007:Physicians, Primary Care