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Home Research Research Library Asthma Care Quality, Language, and Ethnicity in a Multi-State Network of Low-Income Children Asthma Care Quality, Language, and Ethnicity in a Multi-State Network of Low-Income Children 2020 Author(s) Heintzman, John D, Kaufmann, Jorge, Lucas, Jennifer A, Suglia, Shakira F, Garg, Arvin, Puro, Jon, Giebultowicz, Sophia, Ezekiel-Herrera, David, Bazemore, Andrew W, and Marino, Miguel Topic(s) Role of Primary Care, Achieving Health System Goals, and What Family Physicians Do Keyword(s) Children & Adolescents, Population Health, and Quality Of Care Volume Journal of the American Board of Family Medicine Source Journal of the American Board of Family Medicine Introduction: Prior research has documented disparities in asthma outcomes between Latino children and non-Hispanic whites, but little research directly examines the care provided to Latino children over time in clinical settings. Methods: We utilized an electronic health record–based dataset to study basic asthma care utilization (timely diagnosis documentation and medication prescription) between Latino (Spanish preferring and English preferring) and Non-Hispanic white children over a 13-year study period. Results: In our study population (n = 37,614), Latino children were more likely to have Medicaid, be low income, and be obese than non-Hispanic white children. Latinos (Spanish preferring and English preferring) had lower odds than non-Hispanic whites of having their asthma recorded on their problem list on the first day the diagnosis was noted (odds ratio [OR] = 0.83; 95% CI, 0.77 to 0.89 Spanish preferring; OR = 0.93; 95% CI, 0.87 to 0.99 English preferring). Spanish-preferring Latinos had higher odds of ever receiving a prescription for albuterol (OR = 1.96; 95% CI, 1.52 to 2.52), inhaled corticosteroids (OR = 1.45; 95% CI, 1.01 to 2.09), or oral steroids (OR = 1.48; 95% CI, 1.07 to 2.04) than non-Hispanic whites. Among those with any prescription, Spanish-preferring Latinos had higher rates of albuterol prescriptions compared with non-Hispanic whites (adjusted rate ratio [aRR] = 1.0; 95% CI, 1.01 to 1.13). Conclusions: In a multi-state network of clinics, Latino children were less likely to have their asthma entered on their problem list the first day it was noted than non-Hispanic white children, but otherwise did not receive inferior care to non-Hispanic white children in other measures. Further research can examine other parts of the asthma care continuum to better understand asthma disparities. Read More ABFM Research Read all 2020 Meaningful Use And Medical Home Functionality In Primary Care Practice: Study examines the implementation of patient-centered medical home model and the adoption and meaningful use of health information technology in US physician practices. Go to Meaningful Use And Medical Home Functionality In Primary Care Practice: Study examines the implementation of patient-centered medical home model and the adoption and meaningful use of health information technology in US physician practices. 2015 Transforming Training to Build the Family Physician Workforce Our Country Needs Go to Transforming Training to Build the Family Physician Workforce Our Country Needs 2021 Academic Achievement, Professionalism, and Burnout in Family Medicine Residents Go to Academic Achievement, Professionalism, and Burnout in Family Medicine Residents 2014 Effectiveness over efficiency: underestimating the primary care physician shortage Go to Effectiveness over efficiency: underestimating the primary care physician shortage
Author(s) Heintzman, John D, Kaufmann, Jorge, Lucas, Jennifer A, Suglia, Shakira F, Garg, Arvin, Puro, Jon, Giebultowicz, Sophia, Ezekiel-Herrera, David, Bazemore, Andrew W, and Marino, Miguel Topic(s) Role of Primary Care, Achieving Health System Goals, and What Family Physicians Do Keyword(s) Children & Adolescents, Population Health, and Quality Of Care Volume Journal of the American Board of Family Medicine Source Journal of the American Board of Family Medicine
ABFM Research Read all 2020 Meaningful Use And Medical Home Functionality In Primary Care Practice: Study examines the implementation of patient-centered medical home model and the adoption and meaningful use of health information technology in US physician practices. Go to Meaningful Use And Medical Home Functionality In Primary Care Practice: Study examines the implementation of patient-centered medical home model and the adoption and meaningful use of health information technology in US physician practices. 2015 Transforming Training to Build the Family Physician Workforce Our Country Needs Go to Transforming Training to Build the Family Physician Workforce Our Country Needs 2021 Academic Achievement, Professionalism, and Burnout in Family Medicine Residents Go to Academic Achievement, Professionalism, and Burnout in Family Medicine Residents 2014 Effectiveness over efficiency: underestimating the primary care physician shortage Go to Effectiveness over efficiency: underestimating the primary care physician shortage
2020 Meaningful Use And Medical Home Functionality In Primary Care Practice: Study examines the implementation of patient-centered medical home model and the adoption and meaningful use of health information technology in US physician practices. Go to Meaningful Use And Medical Home Functionality In Primary Care Practice: Study examines the implementation of patient-centered medical home model and the adoption and meaningful use of health information technology in US physician practices.
2015 Transforming Training to Build the Family Physician Workforce Our Country Needs Go to Transforming Training to Build the Family Physician Workforce Our Country Needs
2021 Academic Achievement, Professionalism, and Burnout in Family Medicine Residents Go to Academic Achievement, Professionalism, and Burnout in Family Medicine Residents
2014 Effectiveness over efficiency: underestimating the primary care physician shortage Go to Effectiveness over efficiency: underestimating the primary care physician shortage