Pediatric Asthma Study of the State Medical Society of Wisconsin. WMJ 2001;100(8):26-34
Date
04/11/2003Pubmed ID
12685294Scopus ID
2-s2.0-0035726728 (requires institutional sign-in at Scopus site) 5 CitationsAbstract
PROBLEM: Asthma management should follow evidence-based national guidelines. We compared patient self-reports of usual care to clinical practice guidelines.
METHODS: Cross-sectional survey of parents of 245 children age 2-14 years with asthma seen by physicians at 13 practices in Wisconsin.
RESULTS: Most children with asthma were atopic and a substantial number experienced psychosocial problems. Families infrequently used written care plans. Knowledge about asthma triggers, especially tobacco smoke, was deficient. Increasing asthma severity was associated with poorer health. Although most parents rated their physician's expertise as excellent or very good, one-third of children with persistent symptoms used no daily control medication. Significant differences were observed between primary care and specialty care with the best asthma self-management done by patients of specialists.
CONCLUSION: Care of Wisconsin children with asthma inconsistently follows national guidelines. They and their families require improved education, written care plans, appropriate medications, and psychosocial support.
Author List
Meurer JR, Helstad CP, Wiegmann SM, Kelly KJ, Fisher R, Bukstein D, Wegehaupt PAuthor
John R. Meurer MD, MBA Institute Director, Professor in the Institute for Health and Equity department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAsthma
Chi-Square Distribution
Child
Child, Preschool
Cross-Sectional Studies
Female
Guideline Adherence
Health Services Research
Health Status Indicators
Humans
Infant
Male
Patient Satisfaction
Practice Guidelines as Topic
Practice Patterns, Physicians'
Quality of Health Care
Severity of Illness Index
Societies, Medical
Wisconsin
