Beyond the Clinic Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals Read Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals
Phoenix Newsletter - March 2025 President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty Read President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty
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 Using Machine Learning to Predict Primary Care and Advance Workforce Research Go to Using Machine Learning to Predict Primary Care and Advance Workforce Research 2021 The Declining Scope of Practice of Family Physicians Is Limited to Urban Areas Go to The Declining Scope of Practice of Family Physicians Is Limited to Urban Areas 2014 The Continued Importance of Small Practices in the Primary Care Landscape Go to The Continued Importance of Small Practices in the Primary Care Landscape 2018 A State Chapter Perspective on Burnout and Resiliency Go to A State Chapter Perspective on Burnout and Resiliency
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 Using Machine Learning to Predict Primary Care and Advance Workforce Research Go to Using Machine Learning to Predict Primary Care and Advance Workforce Research 2021 The Declining Scope of Practice of Family Physicians Is Limited to Urban Areas Go to The Declining Scope of Practice of Family Physicians Is Limited to Urban Areas 2014 The Continued Importance of Small Practices in the Primary Care Landscape Go to The Continued Importance of Small Practices in the Primary Care Landscape 2018 A State Chapter Perspective on Burnout and Resiliency Go to A State Chapter Perspective on Burnout and Resiliency
2020 Using Machine Learning to Predict Primary Care and Advance Workforce Research Go to Using Machine Learning to Predict Primary Care and Advance Workforce Research
2021 The Declining Scope of Practice of Family Physicians Is Limited to Urban Areas Go to The Declining Scope of Practice of Family Physicians Is Limited to Urban Areas
2014 The Continued Importance of Small Practices in the Primary Care Landscape Go to The Continued Importance of Small Practices in the Primary Care Landscape
2018 A State Chapter Perspective on Burnout and Resiliency Go to A State Chapter Perspective on Burnout and Resiliency