IMPACT DC: Reconceptualizing the Role of the Emergency Department for Urban Children with Asthma

With a grant from the Robert Wood Johnson Foundation, we developed and evaluated an emergency department (ED) based intervention in which patients returned to the ED for a structured 90-minute appointment during the weeks after an acute asthma visit. The intervention, which emphasized disease manage...

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Bibliographic Details
Published inClinical pediatric emergency medicine Vol. 10; no. 2; pp. 115 - 121
Main Authors Quint, Deborah M., MPH, Teach, Stephen J., MD, MPH
Format Journal Article
LanguageEnglish
Published Maryland Heights Elsevier Inc 01.06.2009
Elsevier Limited
Subjects
Asthma
Children & youth
Emergency
emergency department
Health care
Hospitals
pediatric asthma
Primary care
teachable moment
emergency department
teachable moment
pediatric asthma
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Summary:With a grant from the Robert Wood Johnson Foundation, we developed and evaluated an emergency department (ED) based intervention in which patients returned to the ED for a structured 90-minute appointment during the weeks after an acute asthma visit. The intervention, which emphasized disease management using national asthma guidelines, successfully reduced overdependence on EDs for episodic care of asthma while also improving asthma-related quality of life among a cohort of low-income, urban, and largely minority children with moderate to severe asthma and a history of ED recidivism. We have since sustained and grown this multifaceted approach to addressing the disparities in asthma care and outcomes among children in our community.
ISSN:1522-8401
1558-2310
DOI:10.1016/j.cpem.2009.03.003