Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
International Programs: New Zealand (cont’d)
The 3+ Home Visit Plan
Auckland 1030 New Zealand
Janette Reid, BN
64 9 6302293
The 3+ Home Visit Plan is an initiative of Asthma Auckland in New Zealand. The program began in 2003 in response to the high hospital admission rates of children with asthma exacerbations. The 3+ Home Visit Plan, based on the 3+ Visit Plan implemented widely in Australia, is delivered in the greater Auckland area to children who have had 2 or more hospitalizations for acute asthma, and their families.
Registered Nurses from Auckland Asthma Society provide three free home visits to all referred children and whanau (family) for ongoing care and education in asthma. The home visits include an assessment of environmental triggers as well as education, demonstrations, and distribution of materials to control these triggers. Trigger reduction efforts are tailored for each family based on skin testing to determine the child's sensitivities. Nurses communicate the home visit findings and actions taken via a letter to the referring healthcare provider. To meet the needs of various cultural groups in the greater Auckland area, asthma educational materials are available in six languages and a translator is part of the program staff.
The goals of the Asthma Auckland 3+ Home Visit Plan are to reduce the hospital admission rate, increase quality of life, reduce the use of reliever medication, reduce steroid intake due to good asthma management, and ensure all children have a current management plan. Outcomes are evaluated using a client questionnaire at baseline and every 6 months.
The January 2004-July 2004 evaluation revealed a positive impact on hospital utilization, urgent care visits, school absences, work loss, symptoms, medication use, functional status, self-management skills, and use of an asthma action plan.
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