Caring for Young Children with Asthma: Perspectives from Urban Community Health Centers

Abstract

Asthma disproportionately affects low-income, minority youth, with notable disparities among children <5 years of age. Understanding the perceptions of urban community health centers (CHCs) regarding treating young children with asthma could improve care for these patients. This study uses data from semi-structured focus groups with staff from eight urban CHCs. Themes emerged in three domains. Within the parent/family domain, providers noted low rates of follow-up visits, low health literacy, and-for young children specifically-misunderstanding about the diagnosis. At the CHC level, providers needed more staff, space, and comfort with applying the guidelines to infants and young children. CHCs reported asthma registries, population health oversight, and an asthma champion improved care. At the system level, providers wanted improved communication with emergency departments and community outreach programs. Reducing these multi-level barriers may improve care.

Qualitative Coding Boot Camp: An Intensive Training and Overview for Clinicians, Educators, and Administrators

“…To successfully implement this workshop, facilitators must have the following materials: Hard copies of the slide deck to hand out to participants.A computer that has the PowerPoint slides and NVIVO.A projector and screen on which to project the slides and NVIVO tutorial.Hard copies of the interviews and research questions for participants.Optional but suggested: colorful markers or pens for participants to use while coding the interviews.A published qualitative study to give participants so they have an example of what a rigorous write-up should look like. We used one by Childs, Laws, Drainoni, et al 5 …”

“…A published qualitative study to give participants so they have an example of what a rigorous write-up should look like. We used one by Childs, Laws, Drainoni, et al 5…”

Community-informed, integrated, and coordinated care through a community-level model: A narrative synthesis on community hubs

“…[1][2][3] Community hubs have been described in schools, corner stores, libraries, community centres, community health centres, and other central, easily accessible locations within a community. [3][4][5][6][7] Community health centres are an example of a community-informed model of care; 8,9 however, community health centres historically provide primary healthcare to underserved populations (eg, precariously housed, low-income, and refugees) within communities, 10,11 whereas a community hub caters to all who live in the community. 12 A community hub model of care focuses on community connection and community-informed service delivery.…”