Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

’Planned-care method’ of asthma care reduces kids’ symptoms

07.09.2004


A "planned-care method" of providing primary care for children with asthma can significantly reduce symptoms and need for emergency medications, according to a study published in the September issue of Archives of Pediatrics and Adolescent Medicine.

Much of the asthma care in the United States is based on visiting the doctor when a child is having asthma symptoms. The method, devised by Kevin Weiss, M.D., professor of medicine and director of the Center for Healthcare Studies at Northwestern University Feinberg School of Medicine, and colleagues, involves providing regularly planned scheduled visits with specially trained nurses to help families learn how to anticipate asthma symptoms and to develop skills to better self-manage them. In addition, physicians receive extra education in asthma management. Weiss is also affiliated with the Midwest Center for Health Services and Policy Research, Hines Veterans Administration Hospital, Maywood, Ill.

After two years, the researchers found that, compared to children in usual care, kids in planned-care practices had 13 fewer days of symptoms per year; needed a third less rescue medication, such as a steroid inhaler; and used their medication as prescribed, according to parents’ reports.



Data from the Centers for Disease Control and Prevention show that nearly 9 percent of all children in the United States have asthma. Most children with asthma receive their treatment from primary care providers. "Our research shows that we can improve children’s asthma by doing better job of organizing their routine care," said Weiss, who was principal investigator on the study.

"Pediatricians generally do a great job with well-child care, scheduling check-ups and shots at two weeks, two months, four months and so on. Our research shows the benefits of organizing care for chronic conditions like asthma in much the same way," Weiss said. The "planned-care method" consists of patients having regularly scheduled, planned visits with a specially trained asthma care nurse who assesses the patient’s day-to-day asthma control and shares her assessment with the child’s physician. The nurse also helps families learn about asthma, how to manage symptoms and how to prevent asthma from getting worse.

In addition, doctors in the practice follow the "peer leader method," where one physician from each practice receives special training and encourages other doctors in the practice to follow the guidelines. "Our profession has developed some great evidence-based guidelines for asthma care and we know that if we follow them, children have improved outcomes," said pediatrician Paula Lozano, M.D., first author on the study and a researcher at Group Health Cooperative, Seattle. "The fact is, a busy primary care doctor cannot possibly provide all the guidance that’s needed. But if we reorganize our practice teams, we can do it," Lozano said.

Elizabeth Crown | EurekAlert!
Further information:
http://www.northwestern.edu

More articles from Health and Medicine:

nachricht Researchers identify cause of hereditary skeletal muscle disorder
22.02.2017 | Klinikum der Universität München

nachricht Second cause of hidden hearing loss identified
20.02.2017 | Michigan Medicine - University of Michigan

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Breakthrough with a chain of gold atoms

In the field of nanoscience, an international team of physicists with participants from Konstanz has achieved a breakthrough in understanding heat transport

In the field of nanoscience, an international team of physicists with participants from Konstanz has achieved a breakthrough in understanding heat transport

Im Focus: DNA repair: a new letter in the cell alphabet

Results reveal how discoveries may be hidden in scientific “blind spots”

Cells need to repair damaged DNA in our genes to prevent the development of cancer and other diseases. Our cells therefore activate and send “repair-proteins”...

Im Focus: Dresdner scientists print tomorrow’s world

The Fraunhofer IWS Dresden and Technische Universität Dresden inaugurated their jointly operated Center for Additive Manufacturing Dresden (AMCD) with a festive ceremony on February 7, 2017. Scientists from various disciplines perform research on materials, additive manufacturing processes and innovative technologies, which build up components in a layer by layer process. This technology opens up new horizons for component design and combinations of functions. For example during fabrication, electrical conductors and sensors are already able to be additively manufactured into components. They provide information about stress conditions of a product during operation.

The 3D-printing technology, or additive manufacturing as it is often called, has long made the step out of scientific research laboratories into industrial...

Im Focus: Mimicking nature's cellular architectures via 3-D printing

Research offers new level of control over the structure of 3-D printed materials

Nature does amazing things with limited design materials. Grass, for example, can support its own weight, resist strong wind loads, and recover after being...

Im Focus: Three Magnetic States for Each Hole

Nanometer-scale magnetic perforated grids could create new possibilities for computing. Together with international colleagues, scientists from the Helmholtz Zentrum Dresden-Rossendorf (HZDR) have shown how a cobalt grid can be reliably programmed at room temperature. In addition they discovered that for every hole ("antidot") three magnetic states can be configured. The results have been published in the journal "Scientific Reports".

Physicist Dr. Rantej Bali from the HZDR, together with scientists from Singapore and Australia, designed a special grid structure in a thin layer of cobalt in...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Booth and panel discussion – The Lindau Nobel Laureate Meetings at the AAAS 2017 Annual Meeting

13.02.2017 | Event News

Complex Loading versus Hidden Reserves

10.02.2017 | Event News

International Conference on Crystal Growth in Freiburg

09.02.2017 | Event News

 
Latest News

Microhotplates for a smart gas sensor

22.02.2017 | Power and Electrical Engineering

Scientists unlock ability to generate new sensory hair cells

22.02.2017 | Life Sciences

Prediction: More gas-giants will be found orbiting Sun-like stars

22.02.2017 | Physics and Astronomy

VideoLinks
B2B-VideoLinks
More VideoLinks >>>