Patient- and Family-Centered Care as an approach to reducing disparities in asthma outcomes in urban African American children: A review of the literature.
We thank Cathy Eames (Director, Library Services, Detroit Medical Center) for valuable input and assistance with the search strategy. Funding for this research was supported by a grant from Children's Hospital of Michigan Research Foundation (Principal Investigator: Terrance L. Albrecht, Ph.D.).


BACKGROUND
Patient- and family-centered care (PFCC) has the potential to address disparities in access and quality of healthcare for African American pediatric asthma patients by accommodating and responding to the individual needs of patients and families.


OBJECTIVE
To identify and evaluate research on the impact of family-provider interventions that reflect elements of PFCC on reducing disparities in the provision, access, quality, and use of healthcare services for African American pediatric asthma patients.


METHODS
Electronic searches were conducted using PubMed, CINAHL, and Psyclnfo databases. Inclusion criteria were peer-reviewed, English-language articles on family-provider interventions that (a) reflected one or more elements of PFCC and (b) addressed healthcare disparities in urban African American pediatric asthma patients (≤18years).


RESULTS
Thirteen interventions or programs were identified and reviewed. Designs included randomized clinical trials, controlled clinical trials, pre- and post-interventions, and program evaluations.


CONCLUSIONS
Few interventions were identified as explicitly providing PFCC in a pediatric asthma context, possibly because of a lack of consensus on what constitutes PFCC in practice. Some studies have demonstrated that PFCC improves satisfaction and communication during clinical interactions. More empirical research is needed to understand whether PFCC interventions reduce care disparities and improve the provision, access, and quality of asthma healthcare for urban African American children.
PubMed, CINAHL, and Psyclnfo


BACKGROUND
AA-African American: CCT-Controlled clinical trial; ED-Emergency Department; ETS-Environmental tobacco smoke; FCC- Family Centered Care; PFCC-Patient and Family Centered Care; RCT- Randomized, controlled trial.
Karmanos Cancer Institute Population Studies and Disparities Research Program, Department of Oncology, Wayne State University School of Medicine. Electronic address: harperf@karmanos.org.
Felicity W K
FW
Harper
Karmanos Cancer Institute Population Studies and Disparities Research Program, Department of Oncology, Wayne State University School of Medicine.
Susan
S
Eggly
Beverly Crider, Children's Hospital of Michigan.
Beverly
B
Crider
Children's Hospital of Michigan.
Hitomi
H
Kobayashi
Children's Hospital of Michigan, Department of Pediatrics, Wayne State University School of Medicine.
R N
RN
Kathleen
Children's Hospital of Michigan, Department of Pediatrics, Wayne State University School of Medicine.
L
L
Meert
Children's Hospital of Michigan, Department of Pediatrics, Wayne State University School of Medicine.
Allison
A
Ball
Karmanos Cancer Institute Population Studies and Disparities Research Program, Department of Oncology, Wayne State University School of Medicine.
Louis A
LA
Penner
Children's Hospital of Michigan, Department of Pediatrics, Wayne State University School of Medicine.
Herman
H
Gray
Karmanos Cancer Institute Population Studies and Disparities Research Program, Department of Oncology, Wayne State University School of Medicine.
Terrance L
TL
Albrecht
African American; asthma; healthcare disparities; patient and family centered care