Treatment Regimens and Health Care Utilization in Children with Persistent Asthma Symptoms

H. Lorrie Yoos School of Nursing, University of Rochester, New York, Rochester, U.S.A.; Department of Pediatrics, School of Medicine and Dentistry, University of Rochester, New York, Rochester, U.S.A.

, PH.D.,

Harriet Kitzman School of Nursing, University of Rochester, New York, Rochester, U.S.A.; Department of Pediatrics, School of Medicine and Dentistry, University of Rochester, New York, Rochester, U.S.A.

, PH.D.,

Jill S. Halterman Department of Pediatrics, School of Medicine and Dentistry, University of Rochester, New York, Rochester, U.S.A.

, M.D., M.P.H.,

Charles Henderson Department of Human Development, Cornell University, New York, Ithaca, U.S.A.

, M.S.,

Kimberly Sidora-Arcoleo School of Nursing, University of Rochester, New York, Rochester, U.S.A.

, M.P.H. &

Ann Mcmullen School of Nursing, University of Rochester, New York, Rochester, U.S.A.

, M.S.

Abstract

This study evaluated the anti-inflammatory medication regimens in children with persistent asthma, determined their health care utilization patterns, and evaluated factors associated with failure to seek and/or receive appropriate treatment. Parents of 68% of children who qualified for anti-inflammatory medications by National Asthma Education and Prevention Program (NAEPP) guidelines reported their use. However, only 14% received an optimal regimen (mild intermittent symptoms), while 55% were still symptomatic despite reported medications (suboptimal regimen). Nearly half of symptomatic children did not have a health care visit; of those who did, 61% had no corrective action documented. Factors contributing to variations in regimen and utilization are discussed.

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Treatment Regimens and Health Care Utilization in Children with Persistent Asthma Symptoms

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Treatment Regimens and Health Care Utilization in Children with Persistent Asthma Symptoms

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