title: Evaluation of a pharmacist-managed asthma clinic in an Indian Health Service clinic.
abstract: To observe whether American Indian and Alaskan Native (AI/AN) patients at the Yakama Indian Health Service seen at the pharmacist-managed asthma clinic improved asthma outcomes.
  
  
  
  Retrospective chart review, single group, preintervention and postintervention.
  
  
  
  Pharmacist-managed asthma clinic at an Indian Health Service ambulatory care clinic.
  
  
  
  Sixty-one AI/AN patients who were seen at least once in the asthma clinic from 2010 to 2014.
  
  
  
  Pharmacist-provided asthma education and medication management.
  
  
  
  Asthma-related hospitalizations and emergency department or urgent care (ED) visits.
  
  
  
  The total number of asthma-related hospitalizations and ED visits between the 12-month periods preceding and following the initial asthma clinic visit were 11 versus 2 hospitalizations (P = 0.02) and 43 versus 25 ED visits (P = 0.02), respectively. Over the same period, asthma-related oral corticosteroid use showed a nonsignificant decrease in the number of prescriptions filled (n = 59, P = 0.08). In contrast, inhaled corticosteroid prescription fills significantly increased (n = 42, P = 0.01).
  
  
  
  A reduction of asthma-related hospitalizations and ED visits were observed during the course of the intervention. Increased access to formal asthma education and appropriate asthma care benefit the Yakama AI/AN people. A controlled trial is needed to confirm that the intervention causes the intended effect.
authors.forename: Ryan G
authors.initials: RG
authors.lastname: Pett
authors.forename: Shane
authors.initials: S
authors.lastname: Nye
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000554:Ambulatory Care Facilities / Q000458:organization & administration*; D001249:Asthma / Q000188:drug therapy*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D009922:Oregon; D010353:Patient Education as Topic / Q000458:organization & administration*; D010595:Pharmacists / Q000458:organization & administration*; D012189:Retrospective Studies; D014481:United States; D016549:United States Indian Health Service / Q000458:organization & administration*; D055815:Young Adult