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. ABFM Research Read all 2023 Interpersonal Primary Care Continuity for Chronic Conditions Is Associated with Fewer Hospitalizations and Emergency Department Visits Among Medicaid Enrollees Go to Interpersonal Primary Care Continuity for Chronic Conditions Is Associated with Fewer Hospitalizations and Emergency Department Visits Among Medicaid Enrollees 2020 Gender Differences in Personal and Organizational Mechanisms to Address Burnout Among Family Physicians Go to Gender Differences in Personal and Organizational Mechanisms to Address Burnout Among Family Physicians 2020 Primary Care Spending in the United States, 2002-2016 Go to Primary Care Spending in the United States, 2002-2016 2015 Family physician geriatricians do mostly geriatric care: is this a problem for our specialty? Go to Family physician geriatricians do mostly geriatric care: is this a problem for our specialty?
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 2023 Interpersonal Primary Care Continuity for Chronic Conditions Is Associated with Fewer Hospitalizations and Emergency Department Visits Among Medicaid Enrollees Go to Interpersonal Primary Care Continuity for Chronic Conditions Is Associated with Fewer Hospitalizations and Emergency Department Visits Among Medicaid Enrollees 2020 Gender Differences in Personal and Organizational Mechanisms to Address Burnout Among Family Physicians Go to Gender Differences in Personal and Organizational Mechanisms to Address Burnout Among Family Physicians 2020 Primary Care Spending in the United States, 2002-2016 Go to Primary Care Spending in the United States, 2002-2016 2015 Family physician geriatricians do mostly geriatric care: is this a problem for our specialty? Go to Family physician geriatricians do mostly geriatric care: is this a problem for our specialty?
2023 Interpersonal Primary Care Continuity for Chronic Conditions Is Associated with Fewer Hospitalizations and Emergency Department Visits Among Medicaid Enrollees Go to Interpersonal Primary Care Continuity for Chronic Conditions Is Associated with Fewer Hospitalizations and Emergency Department Visits Among Medicaid Enrollees
2020 Gender Differences in Personal and Organizational Mechanisms to Address Burnout Among Family Physicians Go to Gender Differences in Personal and Organizational Mechanisms to Address Burnout Among Family Physicians
2020 Primary Care Spending in the United States, 2002-2016 Go to Primary Care Spending in the United States, 2002-2016
2015 Family physician geriatricians do mostly geriatric care: is this a problem for our specialty? Go to Family physician geriatricians do mostly geriatric care: is this a problem for our specialty?
