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 Role of social deprivation on asthma care quality among a cohort of children in US community health centres Role of social deprivation on asthma care quality among a cohort of children in US community health centres 2021 Author(s) Lucas, Jennifer A, Marino, Miguel, Fankhauser, Katie, Bazemore, Andrew W, Giebultowicz, Sophia, Cowburn, Stuart, Kaufmann, Jorge, Ezekiel-Herrera, David, and Heintzman, John D Topic(s) What Family Physicians Do Keyword(s) Children & Adolescents, and Population Health Volume BMJ Open Source BMJ Open Objective: Social deprivation is associated with worse asthma outcomes. The Social Deprivation Index is a composite measure of social determinants of health used to identify neighbourhood-level disadvantage in healthcare. Our objective was to determine if higher neighbourhood-level social deprivation is associated with documented asthma care quality measures among children treated at community health centres (CHCs). Methods (setting, participants, outcome measures) We used data from CHCs in 15 states in the Accelerating Data Value Across a National Community Health Center Network (ADVANCE). The sample included 34 266 children with asthma from 2008 to 2017, aged 3–17 living in neighbourhoods with differing levels of social deprivation measured using quartiles of the Social Deprivation Index score. We conducted logistic regression to examine the odds of problem list documentation of asthma and asthma severity, and negative binomial regression for rates of albuterol, inhaled steroid and oral steroid prescription adjusted for patient-level covariates. Results: Children from the most deprived neighbourhoods had increased rates of albuterol (rate ratio (RR)=1.22, 95% CI 1.13 to 1.32) compared with those in the least deprived neighbourhoods, while the point estimate for inhaled steroids was higher, but fell just short of significance at the alpha=0.05 level (RR=1.16, 95% CI 0.99 to 1.34). We did not observe community-level differences in problem list documentation of asthma or asthma severity. Conclusions: Higher neighbourhood-level social deprivation was associated with more albuterol and inhaled steroid prescriptions among children with asthma, while problem list documentation of asthma and asthma severity varied little across neighbourhoods with differing deprivation scores. While the homogeneity of the CHC safety net setting studied may mitigate variation in diagnosis and documentation of asthma, enhanced clinician awareness of differences in community risk could help target paediatric patients at risk of lower quality asthma care. Read More ABFM Research Read all 2018 Buprenorphrine Provision by Early Career Family Physicians Go to Buprenorphrine Provision by Early Career Family Physicians 2024 Underlying reasons for primary care visits where chlamydia testing was performed in the United States, 2019-2022 Go to Underlying reasons for primary care visits where chlamydia testing was performed in the United States, 2019-2022 2019 Endoscopic Services in the United States: By Whom, for What, and Why? Go to Endoscopic Services in the United States: By Whom, for What, and Why? 2019 Prevalence and Practice for Rare Diseases in Primary Care: a National Cross-Sectional Study in the USA Go to Prevalence and Practice for Rare Diseases in Primary Care: a National Cross-Sectional Study in the USA
Author(s) Lucas, Jennifer A, Marino, Miguel, Fankhauser, Katie, Bazemore, Andrew W, Giebultowicz, Sophia, Cowburn, Stuart, Kaufmann, Jorge, Ezekiel-Herrera, David, and Heintzman, John D Topic(s) What Family Physicians Do Keyword(s) Children & Adolescents, and Population Health Volume BMJ Open Source BMJ Open
ABFM Research Read all 2018 Buprenorphrine Provision by Early Career Family Physicians Go to Buprenorphrine Provision by Early Career Family Physicians 2024 Underlying reasons for primary care visits where chlamydia testing was performed in the United States, 2019-2022 Go to Underlying reasons for primary care visits where chlamydia testing was performed in the United States, 2019-2022 2019 Endoscopic Services in the United States: By Whom, for What, and Why? Go to Endoscopic Services in the United States: By Whom, for What, and Why? 2019 Prevalence and Practice for Rare Diseases in Primary Care: a National Cross-Sectional Study in the USA Go to Prevalence and Practice for Rare Diseases in Primary Care: a National Cross-Sectional Study in the USA
2018 Buprenorphrine Provision by Early Career Family Physicians Go to Buprenorphrine Provision by Early Career Family Physicians
2024 Underlying reasons for primary care visits where chlamydia testing was performed in the United States, 2019-2022 Go to Underlying reasons for primary care visits where chlamydia testing was performed in the United States, 2019-2022
2019 Endoscopic Services in the United States: By Whom, for What, and Why? Go to Endoscopic Services in the United States: By Whom, for What, and Why?
2019 Prevalence and Practice for Rare Diseases in Primary Care: a National Cross-Sectional Study in the USA Go to Prevalence and Practice for Rare Diseases in Primary Care: a National Cross-Sectional Study in the USA
