Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:


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


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:

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: Space observation with radar to secure Germany's space infrastructure

Satellites in near-Earth orbit are at risk due to the steady increase in space debris. But their mission in the areas of telecommunications, navigation or weather forecasts is essential for society. Fraunhofer FHR therefore develops radar-based systems which allow the detection, tracking and cataloging of even the smallest particles of debris. Satellite operators who have access to our data are in a better position to plan evasive maneuvers and prevent destructive collisions. From April, 25-29 2018, Fraunhofer FHR and its partners will exhibit the complementary radar systems TIRA and GESTRA as well as the latest radar techniques for space observation across three stands at the ILA Berlin.

The "traffic situation" in space is very tense: the Earth is currently being orbited not only by countless satellites but also by a large volume of space...

Im Focus: Researchers Discover New Anti-Cancer Protein

An international team of researchers has discovered a new anti-cancer protein. The protein, called LHPP, prevents the uncontrolled proliferation of cancer cells in the liver. The researchers led by Prof. Michael N. Hall from the Biozentrum, University of Basel, report in “Nature” that LHPP can also serve as a biomarker for the diagnosis and prognosis of liver cancer.

The incidence of liver cancer, also known as hepatocellular carcinoma, is steadily increasing. In the last twenty years, the number of cases has almost doubled...

Im Focus: Researchers at Fraunhofer monitor re-entry of Chinese space station Tiangong-1

In just a few weeks from now, the Chinese space station Tiangong-1 will re-enter the Earth's atmosphere where it will to a large extent burn up. It is possible that some debris will reach the Earth's surface. Tiangong-1 is orbiting the Earth uncontrolled at a speed of approx. 29,000 km/h.Currently the prognosis relating to the time of impact currently lies within a window of several days. The scientists at Fraunhofer FHR have already been monitoring Tiangong-1 for a number of weeks with their TIRA system, one of the most powerful space observation radars in the world, with a view to supporting the German Space Situational Awareness Center and the ESA with their re-entry forecasts.

Following the loss of radio contact with Tiangong-1 in 2016 and due to the low orbital height, it is now inevitable that the Chinese space station will...

Im Focus: Alliance „OLED Licht Forum“ – Key partner for OLED lighting solutions

Fraunhofer Institute for Organic Electronics, Electron Beam and Plasma Technology FEP, provider of research and development services for OLED lighting solutions, announces the founding of the “OLED Licht Forum” and presents latest OLED design and lighting solutions during light+building, from March 18th – 23rd, 2018 in Frankfurt a.M./Germany, at booth no. F91 in Hall 4.0.

They are united in their passion for OLED (organic light emitting diodes) lighting with all of its unique facets and application possibilities. Thus experts in...

Im Focus: Mars' oceans formed early, possibly aided by massive volcanic eruptions

Oceans formed before Tharsis and evolved together, shaping climate history of Mars

A new scenario seeking to explain how Mars' putative oceans came and went over the last 4 billion years implies that the oceans formed several hundred million...

All Focus news of the innovation-report >>>



Industry & Economy
Event News

New solar solutions for sustainable buildings and cities

23.03.2018 | Event News

Virtual reality conference comes to Reutlingen

19.03.2018 | Event News

Ultrafast Wireless and Chip Design at the DATE Conference in Dresden

16.03.2018 | Event News

Latest News

For graphite pellets, just add elbow grease

23.03.2018 | Materials Sciences

Unique communication strategy discovered in stem cell pathway controlling plant growth

23.03.2018 | Agricultural and Forestry Science

Sharpening the X-ray view of the nanocosm

23.03.2018 | Physics and Astronomy

Science & Research
Overview of more VideoLinks >>>