Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: New York (cont’d)
Impact of Concurrent Patient and Physician Education on Morbidity in Children Suffering from Asthma
Asthma Coalition of Long Island
(631) 231-5864 ext. 12
The Asthma Coalition of Long Island implemented an asthma education program from 2001 to 2004 in Nassau and Suffolk Counties in New York. The main objective of the program was to assess the impact of concurrent education of parents and children as well as their pediatricians on reducing hospital admissions and emergency department (ED) visits in children suffering from asthma.
Practicing physicians were educated about early diagnosis of asthma, prevention, early intervention, and the latest advances in asthma management through several interactive discussions in the pediatricians’ offices by a team consisting of a pediatric pulmonologist/allergist and an asthma specialist nurse practitioner (ASNP). Evaluation and education was provided for children and parents through interactive sessions, follow-up visits and monthly telephone contact.
In this project, pediatric practices with the highest morbidity from asthma were targeted, and the physicians were educated in an environment familiar to them. In combination with intensive education, evaluation and support of patients by an ASNP and pulmonologist/allergist, program developers hypothesized that the project would help to reduce the ED visits and hospital admission for children.
Five health maintenance organizations agreed to collaborate and ten large pediatric practices were chosen to participate in the study. From July 2001 to June 2002, eight educational visits were made to each practice by a team consisted of an asthma specialist MD and a ASNP. Sixty patients were recruited and received one one-hour session with the asthma specialist MD and one one-hour session with the ASNP. Monthly follow-up phone calls were made to the patients for continued education and assessment.
An evaluation showed that ED visits in the intervention group showed a marked reduction from 110 to 66 in the first year (p=0.023) and 77 in the second year (p=0.024). There was a significant reduction in hospital admissions from 62 to 28 in the first year(p=0.002), and 27 in the second year (p=0.002).
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